| Grace A Pilcher,md Llc | |
|
820 Saint Sebastian Way Ste 5e Augusta GA 30901-2643 | |
| (706) 364-3741 | |
| (706) 364-5573 |
| Full Name | Grace A Pilcher,md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 820 Saint Sebastian Way, Augusta, Georgia |
| Authorized Official Name and Position | Grace A Pilcher (PRESIDENT) |
| Authorized Official Contact | 7067228817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace A Pilcher,md Llc 820 Saint Sebastian Way Ste 5e Augusta GA 30901-2643 Ph: (706) 364-3741 | Grace A Pilcher,md Llc 820 Saint Sebastian Way Ste 5e Augusta GA 30901-2643 Ph: (706) 364-3741 |
| NPI Number | 1811222789 |
|---|---|
| Provider Enumeration Date | 10/12/2009 |
| Last Update Date | 11/07/2012 |
| Medicare PECOS PAC ID | 5698815306 |
|---|---|
| Medicare Enrollment ID | O20091210000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811222789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 048515 (Georgia) | Primary |
| Provider Name | Grace A Pilcher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245200203 PECOS PAC ID: 9335289040 Enrollment ID: I20091210000337 |
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