# 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:** 1356709935
- **Authorized official:** DR. PETER BUCKLEY MD (DEAN, MEDICAL COLLEGE OF GEORGIA)
- **Authorized official phone:** (706) 721-2231

## Contact information

- **Practice address:** 1120 15TH ST, SUITE BP 4109, AUGUSTA, GA 30912-0004
- **Practice address phone:** (706) 721-6100
- **Mailing address:** 1040 ALEXANDER DR, APT 5222, AUGUSTA, GA 30909-0243
- **Mailing address phone:** (706) 288-6835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 008180 | GA | Yes |

## Other

- **Enumeration date:** 02/10/2016
- **Last updated:** 02/10/2016