Organization
GA DEPARTMENT OF HUMAN RESOURCES
Active
Organization
GA DEPARTMENT OF HUMAN RESOURCES
Active
Other names
East Central Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL C JACKSON M.D. (REGIONAL HOSPITAL ADMINISTRATOR)
(706) 790-2030
Entity
Organization
Contact information
Practice address
3405 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 790-2042
(706) 790-2476
Mailing address
3405 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 790-2042
(706) 790-2476
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
121231
GA
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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