NPI 1003895780

Larisa P Gavrilova-Jordan, MD

Practitioner Reproductive Endocrinology Physician Augusta, GA

Practice location

Address: 1120 15th St, Augusta, GA 30912-0004
Phone: (706) 724-6100
Mailing address: 1499 Walton Way Suite 1400, Augusta, GA 30901-2603

Registered specialties (3)

Reproductive Endocrinology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VE0102X Licence 70748 (GA)

Other Obstetrics & Gynecology providers in Georgia →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 46727 (MN)

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 2006-00745 (NC)

Registry record

NPI: 1003895780
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2006
Record last updated: 24 Jun 2019

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.