Healthcare Provider Details
I. General information
NPI: 1588829055
Provider Name (Legal Business Name): AARON MICHAEL HURD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/24/2008
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
630 13TH ST SUITE 250
AUGUSTA GA
30901-1015
US
IV. Provider business mailing address
1125 TROUPE ST
AUGUSTA GA
30904-4480
US
V. Phone/Fax
- Phone: 706-724-2500
- Fax:
- Phone: 706-737-4575
- Fax: 706-731-5289
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | 070165 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: