# ATHENS PHYSICIANS PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Starr Regional Family Practice - Etowah
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639699044
- **Authorized official:** SARA L MILLER (DIRECTOR)
- **Authorized official phone:** (615) 920-7514

## Contact information

- **Practice address:** 305 GRADY RD STE B, ETOWAH, TN 37331-1903
- **Practice address phone:** (423) 263-0722
- **Practice address fax:** (423) 263-5232
- **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 |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2017
- **Last updated:** 06/27/2017