84PEDIATRIX MEDICAL GROUP UNIVERSITY HOSPITAL AUGUSTA GA.
Organization (NPI-2)
Active
Nurse Practitioner, Neonatal
Provider Information
- NPI Number
1124062112- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1350 WALTON WAY, AUGUSTA, GA, 309012629
- Phone
- (706) 774-8948
Specialties & Taxonomies
Nurse Practitioner, Neonatal
Primary License: GA #RN042192