Organization
MEDICAL CENTER ANESTHESIOLOGY OF ATHENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE MARTIN (CREDENTIALING)
(888) 550-4266
Entity
Organization
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 543-3449
(706) 543-5744
Mailing address
PO BOX 3209, INDIANAPOLIS, IN 46206-3209
(706) 543-3447
(706) 543-5744
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB8991
RAILROAD MEDICARE
GA
Enumeration date
05/31/2006
Last updated
01/12/2015
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