Organization
AMY M SPRAGUE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M SPRAGUE MD (PRESIDENT)
(706) 855-9860
Entity
Organization
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6521
(706) 855-9860
(888) 743-0249
Mailing address
PO BOX 211550, AUGUSTA, GA 30917-1550
(706) 855-9860
(888) 743-0249
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
035145
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G35145
—
SC
Enumeration date
08/28/2008
Last updated
08/18/2015
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