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Organization

AUGUSTA PREVENTIVE CARDIOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA SHARPE (OFFICE MANAGER)
(706) 731-9119
Entity
Organization

Contact information

Practice address
1501 ANTHONY RD, AUGUSTA, GA 30904-4821
(706) 731-9119
(706) 731-9800
Mailing address
1501 ANTHONY RD, AUGUSTA, GA 30904-4821
(706) 731-9119
(706) 731-9800

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011846
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00098788C
GA
05
904301
SC
Enumeration date
07/13/2006
Last updated
08/22/2020
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