Organization
SELECT SPECIALTY HOSPITAL - AUGUSTA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DUGGAN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
1537 WALTON WAY, AUGUSTA, GA 30904-3764
(706) 828-4490
(706) 828-4491
Mailing address
4714 GETTYSBURG RD, LEGAL DEPT., MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
121-612
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51863073
BCBS GA
GA
Enumeration date
07/01/2005
Last updated
09/10/2025
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