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Organization
PIEDMONT ATHENS PRIMARY CARE LLC
Active
Organization
PIEDMONT ATHENS PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY AQUINO (DIRECTOR OF PROVIDER ENROLLMENT)
(470) 271-3427
Entity
Organization
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 369-5440
(706) 369-5490
Mailing address
PO BOX 117264, ATLANTA, GA 30368-7264
(770) 801-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
08/11/2021
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