Organization
ATHENS CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA BARR (OFFICE MANAGER)
(734) 287-3700
Entity
Organization
Contact information
Practice address
15100 S PLAZA DR, TAYLOR, MI 48180-5203
(734) 287-3700
(734) 287-1859
Mailing address
15100 S PLAZA DR, TAYLOR, MI 48180-5203
(734) 287-3700
(734) 287-1859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OH26109
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1128511
—
MI
Enumeration date
03/13/2007
Last updated
08/22/2020
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