Organization
AUGUSTA FAMILY MEDICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABEBE KASSAHUN M.D (OWNER)
(706) 736-3688
Entity
Organization
Contact information
Practice address
1500 JOHNS RD, SUITE # 2, AUGUSTA, GA 30904-4888
(706) 736-3688
(706) 736-3628
Mailing address
1500 JOHNS RD, SUITE # 2, AUGUSTA, GA 30904-4888
(706) 736-3688
(706) 736-3628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
063248
GA
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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