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Individual

ERIC KOHL RING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-5611
(706) 821-8000
(706) 821-0500
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8000
(706) 821-0500

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LL33761
SC
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
078230
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003191650A
GA
Enumeration date
06/14/2011
Last updated
01/15/2021
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