# ATHENS IMAGING CENTER

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

## Provider details

- **NPI number:** 1770857096
- **Authorized official:** TOM MCLENDON (CEO)
- **Authorized official phone:** (706) 549-8306

## Contact information

- **Practice address:** 195 KING AVE, ATHENS, GA 30606-6736
- **Practice address phone:** (706) 549-8306
- **Practice address fax:** (706) 549-4099
- **Mailing address:** 195 KING AVE, ATHENS, GA 30606-6736
- **Mailing address phone:** (706) 549-8306
- **Mailing address fax:** (706) 549-4099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2012
- **Last updated:** 03/05/2012