| Augusta Hypertention, P.c. | |
|
1021 15th St Ste 2 Bio Tech Park Augusta GA 30901-3112 | |
| (706) 722-4688 | |
| (706) 722-8194 |
| Full Name | Augusta Hypertention, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1021 15th St Ste 2, Augusta, Georgia |
| Authorized Official Name and Position | Wayne H Kaesemeyer (OWNER) |
| Authorized Official Contact | 7067224688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Hypertention, P.c. Po Box 3545 Augusta GA 30914-3545 Ph: (706) 868-0131 | Augusta Hypertention, P.c. 1021 15th St Ste 2 Bio Tech Park Augusta GA 30901-3112 Ph: (706) 722-4688 |
| NPI Number | 1003952193 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003952193 | NPI | - | NPPES |
| 00224331G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 022800 (Georgia) | Primary |
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