| Halbert C Capuy Md Pc | |
|
1111 Garredd Blvd Suite A Augusta GA 30909-6674 | |
| (706) 863-5776 | |
| (706) 868-7057 |
| Full Name | Halbert C Capuy Md Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 1111 Garredd Blvd, Augusta, Georgia |
| Authorized Official Name and Position | Halbert C Capuy (OWNER) |
| Authorized Official Contact | 7068635776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halbert C Capuy Md Pc 1111 Garredd Blvd Suite A Augusta GA 30909-6674 Ph: (706) 863-5776 | Halbert C Capuy Md Pc 1111 Garredd Blvd Suite A Augusta GA 30909-6674 Ph: (706) 863-5776 |
| NPI Number | 1063531283 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6507163672 |
|---|---|
| Medicare Enrollment ID | O20160405001014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063531283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Halbert Capuy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245307990 PECOS PAC ID: 8325346307 Enrollment ID: I20160407001410 |
| Provider Name | Livia M Capuy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487729539 PECOS PAC ID: 5395042469 Enrollment ID: I20161102002817 |
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