| Georgia Regents University | |
|
1120 15th St Pavilion Ii, Af 1040 Augusta GA 30912-0004 | |
| (706) 723-4302 | |
| Not Available |
| Full Name | Georgia Regents University |
|---|---|
| Speciality | General Practice |
| Location | 1120 15th St, Augusta, Georgia |
| Authorized Official Name and Position | Chad Allen Asplund (MEDICAL DIRECTOR STUDENT HEALTH) |
| Authorized Official Contact | 7067234302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Regents University 1120 15th St Pavilion Ii, Af 1040 Augusta GA 30912-0004 Ph: (706) 723-4302 | Georgia Regents University 1120 15th St Pavilion Ii, Af 1040 Augusta GA 30912-0004 Ph: (706) 723-4302 |
| NPI Number | 1386065258 |
|---|---|
| Provider Enumeration Date | 12/19/2013 |
| Last Update Date | 12/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386065258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 58438 (Georgia) | Primary |
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