| Athens Family Medicine Llc | |
|
300 Hawthorne Ln Athens GA 30606-2152 | |
| (706) 353-7610 | |
| Not Available |
| Full Name | Athens Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Hawthorne Ln, Athens, Georgia |
| Authorized Official Name and Position | William Steele (CEO) |
| Authorized Official Contact | 5613850731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Athens Family Medicine Llc 1732 S Congress Ave Ste 346 Palm Springs FL 33461-2140 Ph: (706) 353-7610 | Athens Family Medicine Llc 300 Hawthorne Ln Athens GA 30606-2152 Ph: (706) 353-7610 |
| NPI Number | 1427418391 |
|---|---|
| Provider Enumeration Date | 03/04/2016 |
| Last Update Date | 05/23/2024 |
| Medicare PECOS PAC ID | 8729345681 |
|---|---|
| Medicare Enrollment ID | O20171130001790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427418391 | NPI | - | NPPES |
| 923362 | Other | GA | BLUE CROSS BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33494 (Georgia) | Primary |
| Provider Name | Alvin T Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679521298 PECOS PAC ID: 3476530668 Enrollment ID: I20060808000042 |
| Provider Name | Wayne Samuel Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770506578 PECOS PAC ID: 9032304761 Enrollment ID: I20101108001147 |
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