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Organization

ATHENS REGIONAL SPECIALTY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLEY RANSFORD-DES JARDINES (ADMINISTRATIVE DIRECTOR)
(706) 475-4920
Entity
Organization

Contact information

Practice address
1500 OGLETHORPE AVE, STE 600A, ATHENS, GA 30606-2179
(706) 475-4920
(706) 208-8259
Mailing address
1500 OGLETHORPE AVE, STE 600A, ATHENS, GA 30606-2179
(706) 475-4920
(706) 208-8259

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
207Q00000X
Family Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RG0100X
Gastroenterology Physician
207RI0011X
Interventional Cardiology Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
208C00000X
Colon & Rectal Surgery Physician
208M00000X
Hospitalist Physician

Other

Enumeration date
04/01/2010
Last updated
01/14/2014
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