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1224 Augusta West Pkwy Augusta GA 30909-6582 | |
| (706) 860-2986 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1224 Augusta West Pkwy, Augusta, Georgia |
| Authorized Official Name and Position | Mittal J. Patel (OWNER) |
| Authorized Official Contact | 7068602986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1224 Augusta West Pkwy Augusta GA 30909-6582 Ph: (706) 860-2986 | 1224 Augusta West Pkwy Augusta GA 30909-6582 Ph: (706) 860-2986 |
| NPI Number | 1710294426 |
|---|---|
| Provider Enumeration Date | 09/02/2010 |
| Last Update Date | 09/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710294426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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