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Contact Information

SERVICORP RESOURCE CENTER, INC.
1904 HIGHLAND AVENUE
AUGUSTA, GA30904
 Phone: 706-755-2095
 Fax: 706-755-2095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SERVICORP RESOURCE CENTER, INC.

NPI # 1396012852
LBN Legal business name SERVICORP RESOURCE CENTER, INC.
Authorized official PATRICIA FRANCIS - (DIRECTOR OF ADMINISTRATION)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/28/2011
Last updated 11/28/2011 - About 15 years ago
Identifiers
GA License # 020772253
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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