ALLISON SUPERNEAU

Surgery - Trauma Surgery

Active Individual
NPI: 1619343811

Practice Address

1120 15TH ST
Augusta, GA 30912

Phone: (706) 721-8623

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Surgery - Trauma Surgery 2086S0127X Yes 009465 (AZ)
Surgery 208600000X No UO4614 (FL)

Frequently Asked Questions

NPI 1619343811 is the National Provider Identifier for ALLISON SUPERNEAU, a Surgery - Trauma Surgery provider located in Augusta, GA. This NPI was enumerated on August 11, 2015.
ALLISON SUPERNEAU practices at 1120 15TH ST, Augusta, GA 30912.

Quick Facts

NPI
1619343811
Type
Individual
Enumerated
Aug 11, 2015
Last Updated
Mar 12, 2024

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