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Organization

AUGUSTA PRIMARY CARE SERVICES LLC

Active
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Organization

AUGUSTA PRIMARY CARE SERVICES LLC

Active
Parent organization
HOSPITAL CORP., LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOSPITAL CORP., LLC
Authorized official
ROBERT FAILE (VICE PRESIDENT)
(843) 856-7923
Entity
Organization

Contact information

Practice address
3624 J DEWEY GRAY CIR, SUITE 308, AUGUSTA, GA 30909-6584
(706) 855-5650
(706) 863-0821
Mailing address
3624 J DEWEY GRAY CIR, SUITE 308, AUGUSTA, GA 30909-6584
(706) 855-5650
(706) 863-0821

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
298706473A
GA
05
298706473B
GA
05
GP5358
SC
Enumeration date
07/16/2008
Last updated
10/17/2017
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