Provider First Line Business Practice Location Address:
AUGUSTA UNIVERSITY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
1120 15TH ST
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-721-2273
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/19/2020