84pediatrix Medical Group University Hospital Augusta Ga.
Nurse Practitioner, Neonatal in Augusta, GA. Organization (NPI-2).
NPI number1124062112
StatusActive
Last updated in NPPESJun 13, 2008
Details
- NPI
- 1124062112
- Entity type
- Organization (NPI-2)
- Legal business name
- 84pediatrix Medical Group University Hospital Augusta Ga.
- Organization subpart
- No
- Enumeration date
- Jun 16, 2006
- Last updated
- Jun 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0000X | Nurse Practitioner, Neonatal | RN042192 | GA | Yes |
Practice location
1350 Walton WayAugusta, GA 30901-2629
Phone 706-774-8948
Mailing address
4227 Quail Springs CirMartinez, GA 30907-4610
Phone 706-863-4975
Authorized official
Joan Daniel Harper
Neonatal Nures Practitioner
7067748948
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