Organization
COMPREHENSIVE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON SELENA DUNCAN (CREDENTIALING SPECIALIST)
(678) 656-7203
Entity
Organization
Contact information
Practice address
1219 W WHEELER PKWY, SUITE A, AUGUSTA, GA 30909-1899
(706) 869-9222
Mailing address
1219 W WHEELER PKWY, SUITE A, AUGUSTA, GA 30909-1899
(706) 869-9222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
52304
GA
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
04/15/2016
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