| Clinicare Id Consultants of Csra | |
|
1224 Augusta West Pkwy Augusta GA 30909-6582 | |
| (706) 922-0191 | |
| (706) 922-0192 |
| Full Name | Clinicare Id Consultants of Csra |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1224 Augusta West Pkwy, Augusta, Georgia |
| Authorized Official Name and Position | Tarak V. Patel (OWNER/ MANAGING) |
| Authorized Official Contact | 7069220191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinicare Id Consultants of Csra 1224 Augusta West Pkwy Augusta GA 30909-6582 Ph: (706) 922-0191 | Clinicare Id Consultants of Csra 1224 Augusta West Pkwy Augusta GA 30909-6582 Ph: (706) 922-0191 |
| NPI Number | 1366876922 |
|---|---|
| Provider Enumeration Date | 08/30/2013 |
| Last Update Date | 09/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366876922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 066394 (Georgia) | Primary |
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