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Contact Information

KEIKO STOBAEUS, PA-C
1120 15TH ST
AU NEPHROLOGY BA-9413
AUGUSTA, GA30912
 Phone: 706-721-2861
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KEIKO STOBAEUS · (Female)

NPI # 1568935823
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/09/2019
Last updated 01/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS - (Acute Care)
    1120 15TH STREET
    AUGUSTA, GA 30912
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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