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Contact Information

GEORGIA REGENTS UNIVERSITY
1120 15TH ST
PAVILION II, AF 1040
AUGUSTA, GA30912-0004
 Phone: 706-723-4302
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for GEORGIA REGENTS UNIVERSITY

NPI Number 1386065258
LBN Legal business name GEORGIA REGENTS UNIVERSITY
Authorized official CHAD ASPLUND - (MEDICAL DIRECTOR STUDENT HEALTH)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2013
Last updated 12/20/2013 - About 12 years ago
Identifiers
GA License # 58438
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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