# PHYSICIANS PRACTICE GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Georgia Regents Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710389085
- **Authorized official:** DAVID S HEFNER EXECUTIVE VP (EXECUTIVE VP)
- **Authorized official phone:** (706) 721-6076

## Contact information

- **Practice address:** 1120 15TH ST, SUITE AF-2033, AUGUSTA, GA 30912-0004
- **Practice address phone:** (706) 721-6016
- **Mailing address:** 1120 15TH ST, SUITE AF-2033, AUGUSTA, GA 30912-0004
- **Mailing address phone:** (706) 721-6016

## Taxonomy

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

## Other

- **Enumeration date:** 09/18/2014
- **Last updated:** 09/18/2014
