# GEORGIA REGENTS UNIVERSITY AUGUSTA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical College of georgia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154787695
- **Authorized official:** DR. PETER BUCKLEY MD (DEAN)
- **Authorized official phone:** (706) 721-2273

## Contact information

- **Practice address:** 1040 ALEXANDER DR, APT. 5222, AUGUSTA, GA 30909-0243
- **Practice address phone:** (706) 814-0111
- **Mailing address:** 1040 ALEXANDER DR, APT. 5222, AUGUSTA, GA 30909-0243
- **Mailing address phone:** (706) 814-0111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 008179 | GA | Yes |

## Other

- **Enumeration date:** 01/14/2016
- **Last updated:** 01/14/2016