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Contact Information

CSRA PEDIATRICS
820 SAINT SEBASTIAN WAY
SUITE 1B
AUGUSTA, GA30901-2643
 Phone: 706-724-7533
 Fax: 706-724-1530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for CSRA PEDIATRICS

NPI # 1720031230
LBN Legal business name CSRA PEDIATRICS
Authorized official ROBYN MORRIS - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
GA License # 038178
GA License # 052636
GA License # 054398
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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