Organization
AUGUSTA PODIATRY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA ROSIER CREWSONBERRY (BILLING MANAGER)
(706) 738-1925
Entity
Organization
Contact information
Practice address
2030 WALTON WAY, AUGUSTA, GA 30904-4120
(706) 738-1925
(706) 738-0705
Mailing address
2030 WALTON WAY, AUGUSTA, GA 30904-4120
(706) 738-1925
(706) 738-0705
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000710
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI4591
RAILROAD MEDICARE
GA
Enumeration date
02/15/2007
Last updated
06/18/2008
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