Augusta Urology Associates, Llc

LBN: Augusta Urology Associates, Llc
Augusta Urology Associates, Llc is an health care organization with primary practice located at 4350 Towne Centre Dr Ste 2200 , Evans GA 30809-3346. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Oncology, Suppliers / Non-Pharmacy Dispensing Site. Suppliers / Non-Pharmacy Dispensing Site is the primary health care specialty. Augusta Urology Associates, Llc can be contacted via phone (706) 722-0705, or through Alley, Amanda via phone (706) 722-0705.

Contact Information

Primary practice address
4350 Towne Centre Dr Ste 2200 Evans GA 30809-3346
Fax:
Website:
Authorized official contact:
Name: Alley, Amanda

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Oncology 1835X0200X
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1922750462
LBN Legal business name Augusta Urology Associates, Llc
DBA Doing business as
Authorized official Alley, Amanda
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 26th, 2022
Last updated Apr 20th, 2022 - about 3 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 1922750462 NPPES
Georgia MEDICAID 300033214G

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