MEDICARE: AUGUSTA ARTHRITIS CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	28541	GA

General Provider Information

NPI Number	:	1033141882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUGUSTA ARTHRITIS CENTER INC

Provider Business Mailing Address
First Line	:	811 13TH ST
Second Line	:	SUITE 14
City	:	AUGUSTA
State	:	GA
Zip	:	30901-2700
Country	:	US
Telephone Number	:	702-828-0043
Fax Number	:	706-828-0450

Provider Business Practice Location Address
First Line	:	811 13TH ST
Second Line	:	SUITE 14
City	:	AUGUSTA
State	:	GA
Zip	:	30901-2700
Country	:	US
Telephone Number	:	702-828-0043
Fax Number	:	706-828-0450

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD SHAFTER FIELD
Credential	:	MD
Telephone Number	:	706-828-0043

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	05/18/2017

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