# UNIVERSITY HEALTH CENTER, UNIVERSITY OF GEORGIA

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

## Provider details

- **NPI number:** 1942748397
- **Authorized official:** SHANNON KUYKENDALL CPC (BUSINESS SERVICES MANAGER)
- **Authorized official phone:** (706) 542-8638

## Contact information

- **Practice address:** 55 CARLTON ST, ATHENS, GA 30602-1755
- **Practice address phone:** (706) 542-8690
- **Mailing address:** 120 MAPLE LN, ATHENS, GA 30606-4816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | LD004286 | GA | Yes |

## Other

- **Enumeration date:** 02/06/2017
- **Last updated:** 02/06/2017
