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NPI Code Detail

MEDICARE: AUGUSTA ESSUMAN-NELSON DO

MEDICARE: AUGUSTA ESSUMAN-NELSON DO
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
1207R00000XInternal Medicine Physician58.031135OH
2207R00000XInternal Medicine Physician92366GA

General Provider Information

NPI Number : 1558927707
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUGUSTA ESSUMAN-NELSON DO
Provider Business Mailing Address
First Line : 1316 CEDARWOOD DR APT A1
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-1848
Country : US
Telephone Number : 937-269-6172
Fax Number :
Provider Business Practice Location Address
First Line : 232 19TH ST NW STE 7220
Second Line :
City : ATLANTA
State : GA
Zip : 30363-1131
Country : US
Telephone Number : 404-367-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2019
Last Update Date : 09/26/2022

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Directions to “ AUGUSTA ESSUMAN-NELSON DO” Practice Location

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