# PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PIEDMONT ATHENS REG MED CTR, INC
- **Other names:** Piedmont Athens Regional Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639421704
- **Legal business name:** PIEDMONT ATHENS REG MED CTR, INC
- **Authorized official:** JAMES MICHAEL BURNETT (CEO-PIEDMONT ATHENS REGIONAL MEDICA)
- **Authorized official phone:** (706) 475-7000

## Contact information

- **Practice address:** 1199 PRINCE AVENUE, 1ST FLOOR, ATHENS, GA 30606-1426
- **Practice address phone:** (706) 475-1920
- **Practice address fax:** (706) 475-1921
- **Mailing address:** 1199 PRINCE AVENUE, 1ST FLOOR, ATHENS, GA 30606-1426
- **Mailing address phone:** (706) 475-1920
- **Mailing address fax:** (706) 475-1921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE000360 | GA | Yes |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 06/26/2024