Organization
AUGUSTA OBGYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER D GROSSMAN M.D. (PRESIDENT)
(706) 922-0101
Entity
Organization
Contact information
Practice address
1111 GARREDD BLVD, SUITE B, AUGUSTA, GA 30909-6674
(706) 922-0101
(706) 364-0056
Mailing address
1111 GARREDD BLVD, SUITE B, AUGUSTA, GA 30909-6674
(706) 922-0101
(706) 364-0056
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
032198
GA
Other
Enumeration date
01/26/2007
Last updated
09/12/2007
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