Dr. LARISA P GAVRILOVA-JORDAN M.D.
Individual Provider (NPI-1)
Active
Obstetrics & Gynecology, Reproductive Endocrinology
Provider Information
- NPI Number
1003895780- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1120 15TH ST, AUGUSTA, GA, 309120004
- Phone
- (706) 724-6100
Specialties & Taxonomies
Obstetrics & Gynecology, Reproductive Endocrinology
Primary License: GA #70748
Obstetrics & Gynecology
License: MN #46727
Obstetrics & Gynecology
License: NC #2006-00745