Organization
SUMMERVILLE WOMEN'S MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CECELIA T FLANDERS CMC (INSURANCE ADMIN)
(706) 737-3948
Entity
Organization
Contact information
Practice address
2300 WRIGHTSBORO RD, AUGUSTA, GA 30904-6220
(706) 737-3948
(706) 737-4035
Mailing address
2300 WRIGHTSBORO RD, AUGUSTA, GA 30904-6220
(706) 737-3948
(706) 737-4035
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPA647
—
SC
Enumeration date
01/18/2007
Last updated
12/07/2012
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