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Organization
UNIVERSITY HEALTH CENTER, UNIVERSITY OF GEORGIA
Active
Organization
UNIVERSITY HEALTH CENTER, UNIVERSITY OF GEORGIA
Active
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 30602-1755
(706) 542-8690
Mailing address
120 MAPLE LN, ATHENS, GA 30606-4816
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
LD004286
GA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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