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Contact Information

CSRA EMERGENCY PHYSICIANS, PC
3651 WHEELER ROAD
ER DEPT.
AUGUSTA, GA30909
 Phone: 706-651-2369
 Fax: 706-651-2364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
 

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CSRA EMERGENCY PHYSICIANS PC · (Female)

NPI # 1447352778
Status Active
Credentials
Entity Individual
Enumeration date 09/05/2006
Last updated 10/04/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GPA828
  • Other 1184733735 NPI - MICHAEL ECKERT, DO
  • Other 1922114677 NPI - PAUL H. BONUCCI, MD
  • Other 1356345136 NPI - RONALD BEAUDREAU
  • Other 1487763827 NPI - TROY COON
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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