# ATHENS PHYSICIANS PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Starr Convenient Care - Charleston
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255113486
- **Authorized official:** CHARLOTTE LAWRENCE (SECRETARY)
- **Authorized official phone:** (615) 920-7000

## Contact information

- **Practice address:** 8904 HIWASSEE ST NE, CHARLESTON, TN 37310-5378
- **Practice address phone:** (423) 810-0031
- **Mailing address:** 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
- **Mailing address phone:** (615) 920-7000
- **Mailing address fax:** (615) 920-8775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2023
- **Last updated:** 09/16/2024