ADVANCED GYNECOLOGY SPECIALISTS OF AUGUSTA
Medical Practice at Evans Town Center Blvd, Evans, GA

License number
Georgia 16291
Category
Medical Practice
Type
Gynecology
Owner
Name: DR. PAUL M THAXTON M.D.
Title: MEDICAL DIRECTOR
Phone: (706) 922-4545
Address
Address
7013 Evans Town Center Blvd SUITE 101, Evans, GA 30809
National Provider ID: 1619110574
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ADVANCED GYNECOLOGY SPECIALISTS OF AUGUSTA, LLC

Evans, GA

Industry:
Medical Doctor's Office
Registration:
Nov 11, 2008
Addresses:
7013 Evans Town Ctr Blvd SUITE 101, Evans, GA 30809 (Physical)
7013 Evns Twn Ctr Blvd, Evans, GA 30809
State ID:
08084923
Business type:
Domestic Limited Liability Company
Gynecology/Obstetrics, Medical Director, Medical Doctor, President, Principal:
Paul M. Thaxton (Gynecology/Obstetrics, Medical Director, Medical Doctor, President, Principal)
Agent:
Terri A. Thaxton,7013 Evans Town Ctr Blvd SUITE 101 EVANS GA, Evans, GA 30809 (Physical)

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