Augusta Center for Optimal Health

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

037166 Issued in GA

Legal business name

AUGUSTA CENTER FOR OPTIMAL HEALTH

Practice address

2361 Tobacco Rd
Augusta, GA 30906-9220

Phone

(706) 793-4401

Fax

(706) 792-0948

NPI assigned

Feb 11, 2008

Last updated

Feb 11, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marilyn Yvonne Carter, M.D.

Title

Ceo

Phone

(706) 793-4401

Specialties & licenses 1

Addresses

Other names 1

• Augusta Center for Optimal Health Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1942478128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 TOBACCO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309069220",
            "telephone_number": "706-793-4401",
            "fax_number": "706-792-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 TOBACCO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309069220",
            "telephone_number": "706-793-4401",
            "fax_number": "706-792-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA CENTER FOR OPTIMAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-793-4401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "037166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Center for Optimal Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Legal Medicine in Augusta, GA
• Providers in Augusta, GA by specialty
• Legal Medicine in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.