National Provider Identifier Database

84PEDIATRIX MEDICAL GROUP UNIVERSITY HOSPITAL AUGUSTA GA
Neonatal


Contact Information

84PEDIATRIX MEDICAL GROUP UNIVERSITY HOSPITAL AUGUSTA GA.
1350 WALTON WAY
AUGUSTA, GA30901-2629
Phone: 706-774-8948
Fax:
Website:
Specialty Taxonomy Code
* Neonatal 363LN0000X

* Indicates primary specialty

NPI Profile & details for 84PEDIATRIX MEDICAL GROUP UNIVERSITY HOSPITAL AUGUSTA GA.

NPI Number 1124062112
Legal business name
LBN
84PEDIATRIX MEDICAL GROUP UNIVERSITY HOSPITAL AUGUSTA GA.
Authorized official JOAN HARPER - (NEONATAL NURES PRACTITIONER)
Entity Organization
Organization subpart No
Enumeration date 06/16/2006
Last updated 06/13/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: RN042192

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.

Reviews for 84PEDIATRIX MEDICAL GROUP UNIVERSITY HOSPITAL AUGUSTA GA.

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