Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Active OrganizationICF/Individuals with Intellectual Disabilities · AUGUSTA, GA
Registration Details
- NPI Number
- 1083782288
- Provider Type
- Organization
- NPI Issued
- Dec 4, 2006 (19.380729916708 yrs)
- Last Updated
- Aug 22, 2020
- License
-
2121792 (GA)
Practice Information
- Address
-
100 MYRTLE BLVDAUGUSTA, GA, 308121500Browse GA providers · Browse ZIP 30812
- Phone
- 7067902030
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.