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
1500 OGLETHORPE AVE, STE 500B, ATHENS, GA 30606-2179
(706) 548-5833
Mailing address
1500 OGLETHORPE AVE, STE 500B, ATHENS, GA 30606-2179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP7733
MEDICARE GROUP NUMBER
GA
Enumeration date
07/10/2006
Last updated
01/05/2013
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