Organization
SYNERGY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY NESKORIK (PRESIDENT)
(706) 631-6363
Entity
Organization
Contact information
Practice address
1728 WYLDS RD, AUGUSTA, GA 30909-4353
(706) 631-6363
Mailing address
1728 WYLDS RD, AUGUSTA, GA 30909-4353
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
LCB20090060348
GA
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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