MEDICARE: ACUTE CARE CONSULTANTS, 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
2	207RP1001X	Pulmonary Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104808377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUTE CARE CONSULTANTS, INC

Provider Business Mailing Address
First Line	:	820 SAINT SEBASTIAN WAY
Second Line	:	STE 6F
City	:	AUGUSTA
State	:	GA
Zip	:	30901-2643
Country	:	US
Telephone Number	:	706-854-1100
Fax Number	:	706-854-1150

Provider Business Practice Location Address
First Line	:	820 SAINT SEBASTIAN WAY
Second Line	:	STE 6F
City	:	AUGUSTA
State	:	GA
Zip	:	30901-2643
Country	:	US
Telephone Number	:	706-854-1100
Fax Number	:	706-854-1150

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	STEVEN B VAUGHN
Credential	:
Telephone Number	:	706-396-2001

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	11/09/2012

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Directions to “ACUTE CARE CONSULTANTS, INC ” Practice Location

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