Individual
DR. TONY KEITH ADDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2142 W BROAD ST BLDG 200, KAISER PERMANENTE ATHENS MEDICAL CENTER, ATHENS, GA 30606-3509
(706) 583-5000
(229) 391-3686
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
(229) 391-3686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
052526
GA
208000000X
Pediatrics Physician
Primary
052526
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
803014102A
—
GA
05
—
803014102B
—
GA
Enumeration date
04/11/2006
Last updated
01/07/2022
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