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General NPI Number Information
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NPI Number | 1174716989
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Entity Type | Organization
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Legal Business Name | CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC.
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1226 DANTIGNAC ST
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City | AUGUSTA
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State | GA
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Zip | 30901-2788
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Country | US
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Telephone | 706-922-0600
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Fax | 706-922-0603
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Provider Business Mailing Address
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Address Line | PO BOX 31164
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City | AUGUSTA
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State | GA
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Zip | 30903-2964
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Country | US
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Telephone | 706-922-0600
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Fax | 706-922-0604
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Authorized Official
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Title or Position | CREDENTIALING & PRIVILEGING MANAGER
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Name | URSULA SHANERRA ROSA
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Credential |
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Telephone | 706-922-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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