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Organization

AUGUSTA MEDICAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KASHIF NASEEM MD (PRESIDENT)
(706) 496-2573
Entity
Organization

Contact information

Practice address
3642 WHEELER RD, AUGUSTA, GA 30909-6519
(706) 496-2573
(706) 496-2637
Mailing address
3642 WHEELER RD, AUGUSTA, GA 30909-6519
(706) 496-2573
(706) 496-2637

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
58109
GA
207R00000X
Internal Medicine Physician
Primary
208D00000X
General Practice Physician
58109
GA

Other

Enumeration date
02/11/2010
Last updated
07/31/2013
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