Organization
REGIONAL FIRSTCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY RANSFORD-DES JARDINES (ADMINISTRATIVE DIRECTOR)
(706) 475-4921
Entity
Organization
Contact information
Practice address
1010 VILLAGE DR, WATKINSVILLE, GA 30677-6004
(706) 769-0000
(706) 769-0320
Mailing address
1500 OGLETHORPE AVE, STE 600A, ATHENS, GA 30606-2179
(706) 475-4920
(706) 208-8259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
027103
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP3190
MEDICARE GROUP NUMBER
GA
Enumeration date
12/26/2006
Last updated
12/20/2013
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