Athens Limestone Pediatric Center Llc | |
101 Fitness Way Ste 2100 Athens AL 35611-2494 | |
(256) 216-9730 | |
(256) 216-9731 |
Full Name | Athens Limestone Pediatric Center Llc |
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Speciality | Clinic/center - Rural Health |
Location | 101 Fitness Way Ste 2100, Athens, Alabama |
Authorized Official Name and Position | Sebrina Holt (COMPLIANCE DIRECTOR) |
Authorized Official Contact | 2562169648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Athens Limestone Pediatric Center Llc 700 W Market St Athens AL 35611-2457 Ph: (256) 216-9730 | Athens Limestone Pediatric Center Llc 101 Fitness Way Ste 2100 Athens AL 35611-2494 Ph: (256) 216-9730 |
NPI Number | 1972985968 |
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Provider Enumeration Date | 06/25/2015 |
Last Update Date | 06/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972985968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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