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Organization

CSRA PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROBYN J MORRIS (MANAGER)
(706) 724-7533
Entity
Organization

Contact information

Practice address
820 SAINT SEBASTIAN WAY, SUITE 1B, AUGUSTA, GA 30901-2643
(706) 724-7533
(706) 724-1530
Mailing address
820 SAINT SEBASTIAN WAY, SUITE 1B, AUGUSTA, GA 30901-2643
(706) 724-7533
(706) 724-1530

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
038178
GA
173000000X
Legal Medicine
Primary
052636
GA
173000000X
Legal Medicine
054398
GA

Other

Enumeration date
05/18/2006
Last updated
08/22/2020
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