Organization
AUGUSTA UROLOGY ASSOCIATES, LLC
Active
Parent organization
AUGUSTA UROLOGY ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUGUSTA UROLOGY ASSOCIATES
Authorized official
AMANDA ALLEY (CREDENTIALING SPECIALIST)
(706) 722-0705
Entity
Organization
Contact information
Practice address
4350 TOWNE CENTRE DR STE 2200, EVANS, GA 30809-3346
(706) 722-0705
Mailing address
4350 TOWNE CENTRE DR STE 2200, EVANS, GA 30809-3346
(706) 722-0705
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300033214G
—
GA
Enumeration date
01/26/2022
Last updated
08/23/2024
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