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HCA Order Form
Division South Atlantic Division
Site/Hospital Doctors Hospital of Augusta
Billing Delivery
Name rellie.lorenzo@hcahealthcare.com Name Mimi Armstrong
Email George.Greene1@healthtrustpg.com Email Mimi.Armstrong@hcahealthcare.com
Address Line 1 Clinical Education Financial Reporting Address Line 1 1305 Interstate Parkway
Address Line 2 Clinical Education Financial Reporting Address Line 2
Address Line 3 Suite 1100 Address Line 3
City Nashville City Augusta
State TN State GA
ZIP 37203 ZIP 30909
Items to Order
Code Description Quantity Total ($)
[980] Brayden Adult Compression Spring Addon 1 $23.84
  Sub-Total $23.84