Augusta Cardiology Clinic, Pc

LBN: Augusta Cardiology Clinic, Pc
Augusta Cardiology Clinic, Pc is an health care organization with primary practice located at 818 Saint Sebastian Way Ste 311 , Augusta GA 30901-2653. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Augusta Cardiology Clinic, Pc can be contacted via phone (706) 724-3473, or through Clark, David M via phone (706) 724-3473.

Contact Information

Primary practice address
818 Saint Sebastian Way Ste 311 Augusta GA 30901-2653
Phone: (706) 724-3473
Fax: (706) 724-3493
Website:
Map and Directions
Authorized official contact:
Name: Clark, David M Doctor of Medicine (MD)
Phone: (706) 724-3473

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1861566838
LBN Legal business name Augusta Cardiology Clinic, Pc
DBA Doing business as
Authorized official Clark, David M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Feb 11th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861566838 NPPES
South Carolina MEDICAID GPA513

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