# AUGUSTA UNIVERSITY MEDICAL CENTER

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

## Provider details

- **NPI number:** 1700556867
- **Authorized official:** MRS. ROSELINE WHITTEN NP (ADVANCED PRACTICE PROVIDER)
- **Authorized official phone:** (706) 721-2566

## Contact information

- **Practice address:** 1120 15TH ST, AUGUSTA, GA 30912-0004
- **Practice address phone:** (706) 721-2566
- **Mailing address:** 4300 RIVERWATCH PKWY, APT 903, MARTINEZ, GA 30907
- **Mailing address phone:** (678) 668-5625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | — | NULL | Yes |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2021
- **Last updated:** 09/20/2021
