| Athens Internal Medicine Pc | |
|
1500 Oglethorpe Ave Ste 400a Athens GA 30606 | |
| (706) 548-8600 | |
| (706) 548-1655 |
| Full Name | Athens Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1500 Oglethorpe Ave, Athens, Georgia |
| Authorized Official Name and Position | Albert Patrick Brooks (PRESIDENT) |
| Authorized Official Contact | 7065488600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Athens Internal Medicine Pc 1500 Oglethorpe Ave Ste 400a Athens GA 30606 Ph: (706) 548-8600 | Athens Internal Medicine Pc 1500 Oglethorpe Ave Ste 400a Athens GA 30606 Ph: (706) 548-8600 |
| NPI Number | 1558394981 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558394981 | NPI | - | NPPES |
| 022758 | Other | GA | LICENSE |
| 022724 | Other | GA | LICENSE |
| 00250885C | Medicaid | GA | |
| 052022 | Other | GA | LICENSE |
| 00964741A | Medicaid | GA | |
| 00250907B | Medicaid | GA | |
| 057497 | Other | GA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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