CCN: 111637 NPI: 1760440424 Organization

REGENCY SOUTHERNCARE

2924 PROFESSIONAL PKWY , SUITE A
AUGUSTA, GA 309076529

Contact Information

Phone 7068684422
Fax 7068684424
Enumeration Date 2006-05-03
Last Updated 2023-05-23

Taxonomies

Code: 251G00000X (Primary) License State: GA License: 111637

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 12260

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12260

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12260

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12260

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12260

providerType 35

censusDivision 3

cbsaActualGeographicLocation 12260

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 12260

providerType 35

specialPaymentIndicator

carrierCode 10212

localityCode 99