Organization
ATHENA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANCEY SCOTT GAITHER CEO (MANAGING PARTNER)
(480) 712-8319
Entity
Organization
Contact information
Practice address
16515 S 40TH ST STE 143, PHOENIX, AZ 85048-0560
(480) 712-8319
(480) 712-1305
Mailing address
16515 S 40TH ST STE 143, PHOENIX, AZ 85048-0560
(480) 712-8319
(480) 712-1305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
01/20/2026
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