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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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