# ATHENS PHYSICIANS PRACTICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Starr Regional Medical Clinic - Etowah
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730542309
- **Authorized official:** JESS JUDY (PRESIDENT)
- **Authorized official phone:** (615) 920-7214

## Contact information

- **Practice address:** 886 HIGHWAY 411 N, SUITE A, ETOWAH, TN 37331-1912
- **Practice address phone:** (423) 263-2822
- **Practice address fax:** (423) 263-2447
- **Mailing address:** PO BOX 906, ATHENS, TN 37371-0906
- **Mailing address phone:** (423) 263-2822
- **Mailing address fax:** (423) 263-2447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2016
- **Last updated:** 03/31/2016