Jorge, Juaquito Mario
Jorge, Juaquito Mario is an individual health care provider with primary practice located at 1109 Medical Center Dr Ste 3 , Augusta GA 30909-6644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jorge, Juaquito Mario can be contacted via phone (803) 220-1716.Contact Information
Primary practice address
1109 Medical Center Dr Ste 3
Augusta GA 30909-6644
Phone: (803) 220-1716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 102252 | Georgia |
Profile Details
| NPI number | 1629206511 |
|---|---|
| LBN Legal business name | Jorge, Juaquito Mario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2009 |
| Last updated | Jun 5th, 2026 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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