Organization
ATHENS REGIONAL PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RODKEY (ADMINISTRATIVE DIRECTOR)
(706) 475-4920
Entity
Organization
Contact information
Practice address
1181 LANGFORD DR, BLDG 100 STE 101, BOGART, GA 30622-2542
(706) 546-9838
(706) 546-9347
Mailing address
1181 LANGFORD DR, BLDG 100 STE 101, BOGART, GA 30622-2542
(706) 546-9838
(706) 546-9347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP2970
MEDICARE GROUP NUMBER
GA
Enumeration date
12/29/2006
Last updated
02/11/2013
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