Athens Immediate Care #1, Llc

NPI 1174836753 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1174836753
Enumeration Date 07/23/2010
Last Updated 07/23/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROBERT ROBERT
Position EXECUTIVE VICE PRESIDENT
Phone (706) 850-8200
Fax (706) 850-8250
Practice Location
1010 PRINCE AVE
SOUTH BUILDING
ATHENS GA, 30606-5805, US
Phone (706) 850-8200
Fax (706) 850-8250
Business Location
1010 PRINCE AVE
SOUTH BUILDING
ATHENS GA, 30606-5805, US
Phone (706) 850-8200
Fax (706) 850-8250
Toxanomy
Taxonomy Code 363LA2100X
License State
License Number
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According to our database, Athens Immediate Care #1, Llc NPI is 1174836753, taxonomy code is 363LA2100X Athens Immediate Care #1, Llc physically located at 1010 Prince Ave, Athens GA, 30606-5805. NPI Number 1033115704 has the healthcare provider type.

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1174836753 NPI number is provided on an as is basis without warranty of any kind. 1174836753 is maintained by the National Plan & Provider Enumeration System. The contents of Athens Immediate Care #1, Llc are for informational purposes only.