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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