# ATHENS FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255741807
- **Authorized official:** PAUL D HAVER (MD)
- **Authorized official phone:** (706) 548-1555

## Contact information

- **Practice address:** 2205 BARNETT SHOALS RD, ATHENS, GA 30605-3605
- **Practice address phone:** (706) 548-1555
- **Practice address fax:** (706) 548-1577
- **Mailing address:** 2205 BARNETT SHOALS RD, ATHENS, GA 30605-3605
- **Mailing address phone:** (706) 548-1555
- **Mailing address fax:** (706) 548-1577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 026381 | GA | — |
| 207Q00000X | Family Medicine Physician | 031605 | GA | Yes |

## Other

- **Enumeration date:** 05/05/2014
- **Last updated:** 05/02/2017