Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARISA P GAVRILOVA-JORDAN, M.D.
ActiveDR. LARISA P GAVRILOVA-JORDAN, M.D. is a Reproductive Endocrinology healthcare provider located in AUGUSTA, Georgia. NPI 1003895780 is currently active in the NPPES registry. Verify at CMS.
Reproductive Endocrinology · AUGUSTA, GA
Registration Details
- NPI Number
- 1003895780
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2006 (20.612513209762 yrs)
- Last Updated
- Jun 24, 2019
- Licenses
-
70748 (GA)46727 (MN)2006-00745 (NC)
Practice Information
- Address
-
1120 15TH STAUGUSTA, GA, 309120004Browse GA providers · Browse ZIP 30912
- Phone
- 7067246100
- Primary Specialty
-
Reproductive Endocrinology
207VE0102X
- Additional Specialty
- Obstetrics & Gynecology
- Additional Specialty
- Obstetrics & Gynecology
Other Reproductive Endocrinology Providers in AUGUSTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. RICARDO AZZIZ | MD | 1447237375 |
| LAWRENCE C. LAYMAN | MD | 1538278940 |
| DR. PUTHUGRAMAM K NATRAJAN | MD | 1558432179 |
| SOUMIA BRAKTA | MD | 1164749008 |
| JOHN GRAHAM THEISEN | M.D., M.S.C.R. | 1861734378 |
| MARIAM BARSEGHYAN | — | 1063941276 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.