NPI 1760615280

Absolute Family Pch

Organisation Point of Service Augusta, GA

Practice location

Address: 2035 Old Savannah Rd., Augusta, GA 30901
Phone: (706) 394-8093
Mailing address: 2516 Coleman Ave., Augusta, GA 30906

Authorised official

Name: Philandis Wimbush
Title: Administrator
Phone: (706) 394-8093

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 121013181 (GA)

Other Point of Service providers in Georgia →

Registry record

NPI: 1760615280
Entity type: Organization
NPI issued: 1 Sep 2009
Record last updated: 1 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.