# GEORGIA REGENTS UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386065258
- **Authorized official:** DR. CHAD ALLEN ASPLUND MD (MEDICAL DIRECTOR STUDENT HEALTH)
- **Authorized official phone:** (706) 723-4302

## Contact information

- **Practice address:** 1120 15TH ST, PAVILION II, AF 1040, AUGUSTA, GA 30912-0004
- **Practice address phone:** (706) 723-4302
- **Mailing address:** 1120 15TH ST, PAVILION II, AF 1040, AUGUSTA, GA 30912-0004
- **Mailing address phone:** (706) 723-4302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 58438 | GA | Yes |

## Other

- **Enumeration date:** 12/19/2013
- **Last updated:** 12/20/2013