# BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Health Center, University of Georgia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811098817
- **Authorized official:** SHANNON KUYKENDALL CPC (BUSINESS SERVICES MANAGER)
- **Authorized official phone:** (706) 542-8638

## Contact information

- **Practice address:** 55 CARLTON ST, ATHENS, GA 30602-1503
- **Practice address phone:** (706) 542-8638
- **Practice address fax:** (706) 583-0217
- **Mailing address:** 55 CARLTON ST, ATHENS, GA 30602-1503
- **Mailing address phone:** (706) 542-8638
- **Mailing address fax:** (706) 583-0217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/11/2022