Healthcare Provider Details

I. General information

NPI: 1396674735
Provider Name (Legal Business Name): ASSIMINA ARGYRIOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 15TH ST # HB-4000
AUGUSTA GA
30912-0006
US

IV. Provider business mailing address

600 N CARRIAGE HILL DR UNIT 1200
LAS VEGAS NV
89138-4745
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-3159
  • Fax:
Mailing address:
  • Phone: 619-831-2417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number112796
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: