Healthcare Provider Details

I. General information

NPI: 1669410569
Provider Name (Legal Business Name): WEST AUGUSTA OBSTETRICS & GYNECOLOGY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1126 MEDICAL CENTER DR
AUGUSTA GA
30909-1810
US

IV. Provider business mailing address

1126 MEDICAL CENTER DR
AUGUSTA GA
30909-1810
US

V. Phone/Fax

Practice location:
  • Phone: 706-863-5082
  • Fax: 706-863-4082
Mailing address:
  • Phone: 706-863-5082
  • Fax: 706-863-4082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SUSAN THOMAS BRIDGES
Title or Position: OWNER
Credential: M.D.
Phone: 706-863-5082