AUGUSTA ANTI-AGING MEDICINE, LLC; NPI #1568047876

Contact Information

AUGUSTA ANTI-AGING MEDICINE, LLC

610 PONDER PLACE DR
EVANS, GA 30809-3185

Phone: 706-707-2808
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for AUGUSTA ANTI-AGING MEDICINE, LLC

NPI Number	`1568047876`
LBN Legal business name	AUGUSTA ANTI-AGING MEDICINE, LLC
Authorized official	SAMANTHA TOJINO - (SINGLE MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/17/2021
Last updated	03/17/2021 - About 5 years ago
Identifiers	n/a

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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AUGUSTA ANTI-AGING MEDICINE, LLC

Contact Information

Specialty

Family

NPI Profile & details for AUGUSTA ANTI-AGING MEDICINE, LLC

Reviews for AUGUSTA ANTI-AGING MEDICINE, LLC