Colville H Ferdinand, MD | |
3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | |
(706) 504-9712 | |
(706) 504-9703 |
Full Name | Colville H Ferdinand |
---|---|
Gender | Male |
Speciality | Surgery - Surgical Critical Care |
Location | 3647 J Dewey Gray Cir Ste 200, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306956842 | NPI | - | NPPES |
10001269B | Medicaid | GA | |
G53439 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 53439 (Georgia) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | 53439 (Georgia) | Primary |
Entity Name | Au Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
Mailing Address | Practice Location Address |
---|---|
Colville H Ferdinand, MD Po Box 3548, Augusta, GA 30914-3548 Ph: (706) 863-9595 | Colville H Ferdinand, MD 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 Ph: (706) 504-9712 |
Dr. Erika Simmerman Mabes, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3052 Fax: 706-721-7501 | |
Dr. Elizabeth D Fox, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Mary Kathryn Boggs, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909 Phone: 706-504-9712 Fax: 706-504-9703 | |
Dr. James Raley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2503 Fax: 706-721-1047 | |
Dr. Kathryne Holmes, MD Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St Rm Bi4076, Augusta, GA 30912 Phone: 706-721-4651 | |
Mr. Keith F. O'malley, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3671 | |
Dr. Thuy-huong Thi Pham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Bl 4070, Augusta, GA 30912 Phone: 706-721-0000 Fax: 706-721-1047 |