# MEDICAL COLLEGE OF GEORGIA HOSPITAL

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

## Provider details

- **NPI number:** 1558436634
- **Authorized official:** DR. DORTH GREER FALLS III M.D. (ASSOCAITE PROFESSOR)
- **Authorized official phone:** (706) 721-7453

## Contact information

- **Practice address:** 1120 15TH ST, AUGUSTA, GA 30912-0004
- **Practice address phone:** (706) 721-7453
- **Practice address fax:** (706) 721-7781
- **Mailing address:** 747 MAGRUDER LNDG, EVANS, GA 30809-4063
- **Mailing address phone:** (706) 868-0644
- **Mailing address fax:** (706) 721-7781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 026773 | GA | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 09/06/2023