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1505 Winter St Bldg C Augusta GA 30904-4819 | |
| (706) 855-8866 | |
| (706) 860-6358 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 1505 Winter St, Augusta, Georgia |
| Authorized Official Name and Position | Christy Thompson Woodard (OFFICE MANAGER) |
| Authorized Official Contact | 7068558866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1505 Winter St Bldg C Augusta GA 30904-4819 Ph: (706) 855-8866 | 1505 Winter St Bldg C Augusta GA 30904-4819 Ph: (706) 855-8866 |
| NPI Number | 1982813697 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982813697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 025106 (Georgia) | Primary |
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