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Contact Information

AUGUSTA CENTER FOR OPTIMAL HEALTH
2361 TOBACCO RD
AUGUSTA, GA30906-9220
 Phone: 706-793-4401
 Fax: 706-792-0948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for AUGUSTA CENTER FOR OPTIMAL HEALTH

NPI # 1942478128
LBN Legal business name AUGUSTA CENTER FOR OPTIMAL HEALTH
Authorized official MARILYN CARTER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2008
Last updated 02/11/2008 - About 18 years ago
Identifiers
GA License # 037166
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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