Search › Georgia › 2086S0102X
Bounthavy Homsombath, MD
NPI 1225281330 · on the registry since 2008
Practice
- Address
- 3675 J Dewey Gray Cir
Suite 300
Augusta, GA 30909 - Phone
- (706) 863-9595
- Fax
- (888) 745-3917
- Organisation at this address
- New Frontiers In Health Care Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 50
Additional practice sites
- 3651 Wheeler Rd, Augusta, GA
Registry record
- Primary taxonomy
- 2086S0102X
2086S0102X
- Also registered as
- 208600000X
2086S0102X
2086S0102X
2086S0102X
2086S0102X - Licence states on file
- GA, TN, TX, FL, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia