| Cpc-crossroads | |
|
1701 Magnolia Way Ste 101 Augusta GA 30909-9484 | |
| (706) 922-6600 | |
| (706) 650-0239 |
| Full Name | Cpc-crossroads |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 Magnolia Way Ste 101, Augusta, Georgia |
| Authorized Official Name and Position | Robert Clark (PHYSICIAN) |
| Authorized Official Contact | 7069228294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpc-crossroads Po Box 2510 Evans GA 30809-2510 Ph: (706) 922-8251 | Cpc-crossroads 1701 Magnolia Way Ste 101 Augusta GA 30909-9484 Ph: (706) 922-6600 |
| NPI Number | 1205179173 |
|---|---|
| Provider Enumeration Date | 03/29/2013 |
| Last Update Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205179173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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