Healthcare Provider Details
I. General information
NPI: 1548182918
Provider Name (Legal Business Name): AU MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1225 KNOX AVE STE 100
NORTH AUGUSTA SC
29841-4022
US
IV. Provider business mailing address
1120 15TH ST
AUGUSTA GA
30912-0004
US
V. Phone/Fax
- Phone: 706-478-9755
- Fax: 706-478-9783
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
KERNDL
Title or Position: EVP
Credential:
Phone: 470-644-0076