Primedoc Of Athens Inc | |
775 Sunset Drive Athens GA 30606 | |
(706) 425-1500 | |
Not Available |
Full Name | Primedoc Of Athens Inc |
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Speciality | Internal Medicine |
Location | 775 Sunset Drive, Athens, Georgia |
Authorized Official Name and Position | Robert Reynolds (PRESIDENT/OWNER) |
Authorized Official Contact | 8282103260 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primedoc Of Athens Inc Po Box 601153 Charlotte NC 28260-1153 Ph: (843) 237-3378 | Primedoc Of Athens Inc 775 Sunset Drive Athens GA 30606 Ph: (706) 425-1500 |
NPI Number | 1417112301 |
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Provider Enumeration Date | 07/21/2008 |
Last Update Date | 07/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417112301 | NPI | - | NPPES |
695069922A | Medicaid | GA | |
DC0899 | Other | GA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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