Organization
MEDICAL COLLEGE OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE FARROW PA-C (PA-C)
(706) 721-2505
Entity
Organization
Contact information
Practice address
1120 15TH ST # BAA-5407, AUGUSTA, GA 30912-0004
(706) 721-2505
Mailing address
1120 15TH ST # BAA-5407, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
4804
GA
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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