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302 Wheeler Executive Ctr Augusta GA 30909 | |
| (706) 736-8500 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 302 Wheeler Executive Ctr, Augusta, Georgia |
| Authorized Official Name and Position | Warren Umansky (OWNER) |
| Authorized Official Contact | 7067368500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
302 Wheeler Executive Ctr Augusta GA 30909 Ph: (706) 736-8500 | 302 Wheeler Executive Ctr Augusta GA 30909 Ph: (706) 736-8500 |
| NPI Number | 1174974620 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 06/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174974620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (Georgia) | Primary |
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