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Organization

ATHENS MEDICAL GROUP, INC

Active
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Organization

ATHENS MEDICAL GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA L DANIEL MBA (EX DIRECTOR)
(765) 364-5360
Entity
Organization

Contact information

Practice address
1660 LAFAYETTE RD, 100, CRAWFORDSVILLE, IN 47933-4601
(765) 359-1660
(765) 359-2233
Mailing address
1660 LAFAYETTE RD, 100, CRAWFORDSVILLE, IN 47933-4601
(765) 359-1660
(765) 359-2233

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—

Other

Enumeration date
08/21/2006
Last updated
10/25/2007
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