Umg Neurology, Llc | |
820 Saint Sebastian Way #4-c Augusta GA 30901-2643 | |
(706) 774-5995 | |
(706) 774-5996 |
Full Name | Umg Neurology, Llc |
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Speciality | Psychiatry & Neurology |
Location | 820 Saint Sebastian Way, Augusta, Georgia |
Authorized Official Name and Position | Julie Deason (DIRECTOR) |
Authorized Official Contact | 7067748326 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Umg Neurology, Llc Po Box 1705 Augusta GA 30903-1705 Ph: (706) 774-7263 | Umg Neurology, Llc 820 Saint Sebastian Way #4-c Augusta GA 30901-2643 Ph: (706) 774-5995 |
NPI Number | 1912330804 |
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Provider Enumeration Date | 08/14/2013 |
Last Update Date | 03/17/2018 |
Medicare PECOS PAC ID | 8022242999 |
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Medicare Enrollment ID | O20131008001046 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912330804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
208M00000X | Hospitalist | (* (Not Available)) | Secondary |
Provider Name | Ranjit Kaur Sethi |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1821270430 PECOS PAC ID: 7012995145 Enrollment ID: I20040713001301 |
Provider Name | John D Blevins |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1467423608 PECOS PAC ID: 3971682691 Enrollment ID: I20080507000142 |
Provider Name | Grace A Pilcher |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1245200203 PECOS PAC ID: 9335289040 Enrollment ID: I20091210000337 |
Provider Name | Maher Astwani |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1447325048 PECOS PAC ID: 5991831240 Enrollment ID: I20110309000658 |
Provider Name | William E Philippi |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1881692010 PECOS PAC ID: 2264409242 Enrollment ID: I20140721000728 |
Provider Name | Birenkumar Rajandrakumar Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20170908002747 |
Provider Name | Sheikh Faheem |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1104251321 PECOS PAC ID: 0840556882 Enrollment ID: I20180625002324 |
Provider Name | Elsie-solange Mvoueng Nkoi-mimba |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568007813 PECOS PAC ID: 5597176453 Enrollment ID: I20201124003340 |
Provider Name | Tina Sharkey Nordeen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932789674 PECOS PAC ID: 9335547041 Enrollment ID: I20211011002938 |
Provider Name | Victor Vahid Lami |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1073969523 PECOS PAC ID: 4183055478 Enrollment ID: I20230621002570 |
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