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Organization
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Active
Organization
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Active
Other names
East Central Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA WEISSER M.D. (CLINICAL DIRECTOR)
(706) 792-7021
Entity
Organization
Contact information
Practice address
3405 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 792-7021
Mailing address
3405 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 792-7021
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHH004147
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355737A
—
GA
Enumeration date
12/14/2006
Last updated
08/22/2020
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