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Organization
BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA
Active
Organization
BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA
Active
Other names
University Health Center, University of Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON KUYKENDALL CPC (BUSINESS SERVICES MANAGER)
(706) 542-8638
Entity
Organization
Contact information
Practice address
55 CARLTON ST, ATHENS, GA 30602-1503
(706) 542-8638
(706) 583-0217
Mailing address
55 CARLTON ST, ATHENS, GA 30602-1503
(706) 542-8638
(706) 583-0217
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
09/25/2006
Last updated
08/11/2022
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