Organization
UNIVERSITY SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY W COOPER (OWNER)
(706) 722-2334
Entity
Organization
Contact information
Practice address
818 SAINT SEBASTIAN WAY, SUITE 408, AUGUSTA, GA 30901-2651
(706) 722-2334
(706) 724-7032
Mailing address
818 SAINT SEBASTIAN WAY, SUITE 408, AUGUSTA, GA 30901-2651
(706) 722-2334
(706) 724-7032
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPA859
—
GA
Enumeration date
11/18/2005
Last updated
10/12/2011
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