# ATHENS REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mind Body Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053431320
- **Authorized official:** DR. RICHARD PANICO M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (706) 475-7330

## Contact information

- **Practice address:** 1199 PRINCE AVE, ATHENS, GA 30606-2797
- **Practice address phone:** (706) 475-7330
- **Practice address fax:** (706) 475-6717
- **Mailing address:** 1199 PRINCE AVE, ATHENS, GA 30606-2797
- **Mailing address phone:** (706) 475-7330
- **Mailing address fax:** (706) 475-6717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | GA17870 | GA | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 08/22/2020
