| Organization Name: | AUGUSTA MEDICAL CARE LLC |
| NPI Number: | 1619209905 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KASHIF NASEEM (PRESIDENT) |
| Mailing Address: | 3642 Wheeler Rd Augusta |
| State: | GA US |
| Postal Code: | 309096519 |
| Phone Number: | 7064962573 |
| Fax Number: | 7064962637 |
| NPI Enumeration Date: | 02/11/2010 |
| NPI Last Update Date: | 07/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 58109 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |