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Organization

BETTY SAXON ELDER CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA DIANE CHRISTIE (OFFICE MANAGER)
(706) 793-8242
Entity
Organization

Contact information

Practice address
1125 PINEY GROVE RD, AUGUSTA, GA 30906-8714
(706) 793-8242
(706) 793-2272
Mailing address
1125 PINEY GROVE RD, AUGUSTA, GA 30906-8714
(706) 793-8242
(706) 793-2272

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
121-03-017-1
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000921434A
GA
05
000921434B
GA
Enumeration date
12/13/2006
Last updated
06/19/2008
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