| Athens Physicians Practice Llc | |
|
305 Grady Rd Ste B Etowah TN 37331-1911 | |
| (423) 263-0722 | |
| (833) 369-0949 |
| Full Name | Athens Physicians Practice Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 305 Grady Rd Ste B, Etowah, Tennessee |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Athens Physicians Practice Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Athens Physicians Practice Llc 305 Grady Rd Ste B Etowah TN 37331-1911 Ph: (423) 263-0722 |
| NPI Number | 1508627175 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 09/16/2024 |
| Medicare PECOS PAC ID | 2163490319 |
|---|---|
| Medicare Enrollment ID | O20240313000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508627175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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