Organization
ATHENS IMMEDIATE CARE #1, LLC
Active
Other names
smartERclinix of Athens #1
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WILDMON (EXECUTIVE VICE PRESIDENT)
(678) 471-5308
Entity
Organization
Contact information
Practice address
1010 PRINCE AVE, SOUTH BUILDING, ATHENS, GA 30606-5805
(706) 850-8200
(706) 850-8250
Mailing address
1010 PRINCE AVE, SOUTH BUILDING, ATHENS, GA 30606-5805
(706) 850-8200
(706) 850-8250
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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