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Dr. Larisa P Gavrilova-Jordan

Obstetrician & Gynecologist Reproductive Endocrinologist

1120 15th St
Augusta , Georgia 30912-0004

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Dr. Larisa P Gavrilova-Jordan

Obstetrician & Gynecologist Reproductive Endocrinologist

1120 15th St
Augusta , Georgia 30912-0004

(706) 724-6100

Write a Review Save Call

Dr. Larisa P Gavrilova-Jordan

Obstetrician & Gynecologist Reproductive Endocrinologist

1120 15th St
Augusta , Georgia 30912-0004

(706) 724-6100 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Obstetrician & Gynecologist
  • Reproductive Endocrinologist

Languages spoken

  • English

Location

1120 15th St Augusta , Georgia 30912-0004

First Address

  • Dr. Larisa P Gavrilova-Jordan
  • 1499 Walton Way Suite 1400
  • Augusta, GA
  • Zip : 30901-2603
  • Phone : (706) 724-6100

Second Address

  • Dr. Larisa P Gavrilova-Jordan
  • 1120 15th St
  • Augusta, GA
  • Zip : 30912-0004
  • Phone : (706) 724-6100

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FAQs


Where did Dr. Larisa P Gavrilova-Jordan attend graduate school?

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Where did Dr. Larisa P Gavrilova-Jordan do her residency?

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Where did Dr. Larisa P Gavrilova-Jordan do her fellowship?

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Is Dr. Larisa P Gavrilova-Jordan board certified?

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What type of doctor is Dr. Larisa P Gavrilova-Jordan

Reproductive Endocrinologist

In what state does Dr. Larisa P Gavrilova-Jordan practice in?

Georgia

Where is Dr. Larisa P Gavrilova-Jordan ’s practice located?

1120 15th St , Augusta, Georgia, 30912-0004

What is Dr. Larisa P Gavrilova-Jordan ’s gender?

Female

Is Dr. Larisa P Gavrilova-Jordan a sole practitioner?

No

Is Dr. Larisa P Gavrilova-Jordan accepting new patients?

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What languages does Dr. Larisa P Gavrilova-Jordan speak?

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Does Dr. Larisa P Gavrilova-Jordan accept insurance?

Yes, Dr. Larisa P Gavrilova-Jordan accepts insurance

Does Dr. Larisa P Gavrilova-Jordan offers telemedicine?

Dr. Larisa P Gavrilova-Jordan has not indicated if she offers telemedicine

What is Dr. Larisa P Gavrilova-Jordan ’s professional license number?

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What is Dr. Larisa P Gavrilova-Jordan ’s NPI number?

1003895780

Does Dr. Larisa P Gavrilova-Jordan have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207V00000X Obstetrician & Gynecologist 2006-00745 NC
N 207V00000X Obstetrician & Gynecologist 46727 MN
Y 207VE0102X Reproductive Endocrinologist 70748 GA

National Provider Identifier

NPI 1003895780
Provider Name Dr. Larisa P Gavrilova-Jordan
First Address Augusta, GA 30901-2603
Second Address Augusta, GA 30912-0004
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 11/01/2006
Last Update Date 24/06/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
5909224 (05) NC
891448600 (05) MN
I11927 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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