National Provider Identifier Database

GEORGIA REGENTS UNIVERSITY
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

GEORGIA REGENTS UNIVERSITY
1120 15TH ST
PAVILION II, AF 1040
AUGUSTA, GA30912-0004
Phone: 706-723-4302
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for GEORGIA REGENTS UNIVERSITY

NPI Number 1386065258
Legal business name
LBN
GEORGIA REGENTS UNIVERSITY
Authorized official CHAD ASPLUND - (MEDICAL DIRECTOR STUDENT HEALTH)
Entity Organization
Organization subpart No
Enumeration date 12/19/2013
Last updated 12/20/2013 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 58438

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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