Organization
ATHENA WOMENS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY J GEMMELL M.D (PRESIDENT)
(724) 532-2322
Entity
Organization
Contact information
Practice address
911 LIGONIER ST, SUITE 205, LATROBE, PA 15650-1805
(724) 532-2322
(724) 532-2405
Mailing address
911 LIGONIER ST, SUITE 205, LATROBE, PA 15650-1805
(724) 532-2322
(724) 532-2405
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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