Organization
UMG RHEUMATOLOGY LLC
Active
Parent organization
UNIVERSITY MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY MEDICAL GROUP
Authorized official
JULIE DEASON (DIRECTOR, PHYSICIAN REVENUE CYCLE)
(706) 774-8326
Entity
Organization
Contact information
Practice address
820 SAINT SEBASTIAN WAY STE 4C, AUGUSTA, GA 30901-2638
(706) 774-5997
Mailing address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-8326
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
063756
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063756
063756
GA
Enumeration date
08/18/2015
Last updated
08/18/2015
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