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NPI Profile for 84PEDIATRIX MEDICAL GROUP UNIVERSITY HOSPITAL AUGUSTA GA in AUGUSTA, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal |
363LN0000X | 50 | Nurse Practitioner |
| NPI Number | 1124062112 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/16/2006 | |
| Last updated | 06/13/2008 - About 18 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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84PEDIATRIX MEDICAL GROUP UNIVERSITY HOSPITAL AUGUSTA GA.
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84PEDIATRIX MEDICAL GROUP UNIVERSITY HOSPITAL AUGUSTA GA.