Organization
UNIVERSITY HEALTH CENTER, UNIVERSITY OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON KUYKENDALL CPC (BUSINESS SERVICES MANAGER)
(706) 542-8638
Entity
Organization
Contact information
Practice address
55 CARLTON ST, ATHENS, GA 30602-1755
(706) 542-8690
Mailing address
120 MAPLE LN, ATHENS, GA 30606-4816
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
LD004286
GA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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