Organization
AU MEDICAL CENTER, INC
Active
Parent organization
AU MEDICAL CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AU MEDICAL CENTER, INC
Authorized official
KATRINA KEEFER (CEO)
(706) 721-6569
Entity
Organization
Contact information
Practice address
1348 WALTON WAY STE 6300C, AUGUSTA, GA 30901-5104
(706) 721-7173
Mailing address
1120 15TH ST # BI-2084, AUGUSTA, GA 30912-0004
(706) 721-0211
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000723A
—
GA
05
—
315846
—
SC
05
—
35827
—
SC
Enumeration date
07/24/2019
Last updated
12/19/2019
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