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Organization

PHYSICIANS PRACTICE GROUP

Active
Other names
Georgia Regents Medical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID S HEFNER EXECUTIVE VP (EXECUTIVE VP)
(706) 721-6076
Entity
Organization

Contact information

Practice address
1120 15TH ST, SUITE AF-2033, AUGUSTA, GA 30912-0004
(706) 721-6016
Mailing address
1120 15TH ST, SUITE AF-2033, AUGUSTA, GA 30912-0004
(706) 721-6016

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
09/18/2014
Last updated
09/18/2014
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