Organization
AUGUSTA PLASTIC SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARON P BARTLEY (BILLING MANAGER)
(706) 724-5611
Entity
Organization
Contact information
Practice address
569 FURYS FERRY RD, MARTINEZ, GA 30907-9059
(706) 724-5611
(706) 724-5435
Mailing address
569 FURYS FERRY RD, MARTINEZ, GA 30907-9059
(706) 724-5611
(706) 724-5435
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022627A
—
GA
05
—
GPA860
—
SC
Enumeration date
05/09/2006
Last updated
07/22/2020
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