Organization
ENT SURGERY CENTER OF AUGUSTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ELLIOTT BARFIELD III M.D. (MEDICAL DIRECTOR)
(706) 364-4040
Entity
Organization
Contact information
Practice address
340 N BELAIR RD, SUITE B, EVANS, GA 30809-3000
(706) 364-4040
(706) 364-8402
Mailing address
340 N BELAIR RD, SUITE B, EVANS, GA 30809-3000
(706) 364-4040
(706) 364-8402
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
036286
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51003904002
BLUE CROSS OF GA PROVIDER
GA
Enumeration date
06/24/2006
Last updated
08/13/2007
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