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Dr. Larisa P Gavrilova-jordan, MD
Obstetrics & Gynecology Physician in Augusta, Georgia
NPI 1003895780

Larisa P Gavrilova-jordan is a Obstetrics & Gynecology Physician based in Augusta, GA. Larisa P Gavrilova-jordan practices in Augusta, GA and has the professional credentials of MD. The NPI Number for Larisa P Gavrilova-jordan is 1003895780 and holds a License No. 70748 (Georgia).

The current practice location address for Larisa P Gavrilova-jordan is 1120 15Th St, Augusta, GA and can be reached out via phone at 706-724-6100.

Location: 1120 15Th St, Augusta, GA, 30901-2603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003895780
Provider Name
Larisa P Gavrilova-jordan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1120 15Th St, Augusta, GA, 30901-2603
Phone Number
706-724-6100
Fax Number
Provider Enumeration Date
01/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5909224 05 NC
891448600 05 MN
institution
Provider Business Practice Location Address Details
Address
1120 15Th St
City
Augusta
State
Georgia
Zip
30912-0004
Phone Number
706-724-6100
Fax Number
person
Provider Business Mailing Address Details
Address
1120 15Th St
City
Augusta
State
Georgia
Zip
30912-0004
Phone Number
706-724-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
46727 (Minnesota)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Reproductive Endocrinology
Taxonomy
207VE0102X
License No.
70748 (Georgia)
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
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