| Augusta Preventive Cardiology | |
|
1511 Anthony Rd Augusta GA 30904-4821 | |
| (706) 731-9119 | |
| (706) 731-9800 |
| Full Name | Augusta Preventive Cardiology |
|---|---|
| Speciality | Internal Medicine |
| Location | 1511 Anthony Rd, Augusta, Georgia |
| Authorized Official Name and Position | Albert A Carr (OWNER) |
| Authorized Official Contact | 7067319119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Preventive Cardiology Po Box 3545 Augusta GA 30914-3545 Ph: (706) 868-0131 | Augusta Preventive Cardiology 1511 Anthony Rd Augusta GA 30904-4821 Ph: (706) 731-9119 |
| NPI Number | 1932245206 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 10/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932245206 | NPI | - | NPPES |
| 904301 | Medicaid | SC | |
| 00098788C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 011846 (Georgia) | Primary |
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