| Athens Medical Associates Pc | |
|
130 Hawthorne Park Dr. Athens GA 30606 | |
| (706) 227-2700 | |
| (706) 227-2838 |
| Full Name | Athens Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 Hawthorne Park Dr., Athens, Georgia |
| Authorized Official Name and Position | Zaigham A Butt (PHYSICIAN) |
| Authorized Official Contact | 7062272700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Athens Medical Associates Pc 130 Hawthorne Park Dr. 130 Hawthorne Park Dr. Athens GA 30606 Ph: (706) 227-2700 | Athens Medical Associates Pc 130 Hawthorne Park Dr. Athens GA 30606 Ph: (706) 227-2700 |
| NPI Number | 1487667630 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 09/21/2021 |
| Medicare PECOS PAC ID | 9133107527 |
|---|---|
| Medicare Enrollment ID | O20040712001013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487667630 | NPI | - | NPPES |
| 000667312J | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 040338 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zaigham A Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588743728 PECOS PAC ID: 1759369143 Enrollment ID: I20040713001133 |
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