Organization
BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA
Active
Organization
BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA
Active
Other names
The University of Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON KUYKENDALL (UHC BUSINESS OFFICE MANAGER)
(706) 542-8638
Entity
Organization
Contact information
Practice address
55 CARLTON ST, ATHENS, GA 30602-1503
(706) 542-8638
(706) 583-0217
Mailing address
55 CARLTON ST, ATHENS, GA 30602-1503
(706) 542-8638
(706) 583-0217
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
GA
231H00000X
Audiologist
—
GA
291U00000X
Clinical Medical Laboratory
—
GA
305S00000X
Point of Service
Primary
—
GA
Other
Enumeration date
10/16/2008
Last updated
02/19/2014
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