Organization
AU MEDICAL CENTER, INC
Active
Parent organization
AU MEDICAL CENTER, INC.
Other names
Image Boutique
Organization subpart
Yes
Provider details
NPI number
Legal business name
AU MEDICAL CENTER, INC.
Authorized official
NATALIE MARIE REYNOLDS (MANAGER OF REIMBURSEMENT)
(706) 828-6430
Entity
Organization
Contact information
Practice address
1411 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-0466
(706) 721-4329
Mailing address
1411 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-0466
(706) 721-4329
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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