Organization
AUGUSTA GASTROINTESTINAL SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD BROWN SR. M.D. (OWNER, CEO)
(706) 722-1461
Entity
Organization
Contact information
Practice address
820 SAINT SEBASTIAN WAY, SUITE 2 D, AUGUSTA, GA 30901-2643
(706) 722-1461
(706) 722-2767
Mailing address
820 SAINT SEBASTIAN WAY, SUITE 2 D, AUGUSTA, GA 30901-2643
(706) 722-1461
(706) 722-2767
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
048164
GA
207RG0100X
Gastroenterology Physician
G025517
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00283654B
—
GA
05
—
00918013A
—
GA
01
—
048164
LICENSE
GU
01
—
1245277250
NPI
GA
01
—
1316984347
NPI
GA
01
—
G025517
LICENSE
GU
01
—
GRP4596
MEDICARE GROUP
GA
01
—
GRP4596
MEDICARE GROUP
GU
Enumeration date
03/13/2007
Last updated
08/22/2020
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