Organization
ATHENS FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL D HAVER (MD)
(706) 548-1555
Entity
Organization
Contact information
Practice address
2205 BARNETT SHOALS RD, ATHENS, GA 30605-3605
(706) 548-1555
(706) 548-1577
Mailing address
2205 BARNETT SHOALS RD, ATHENS, GA 30605-3605
(706) 548-1555
(706) 548-1577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
026381
GA
207Q00000X
Family Medicine Physician
Primary
031605
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255741807
GROUP NPI
GA
Enumeration date
05/05/2014
Last updated
05/02/2017
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