Organization
ATHENS MODEL NEIGHBORHOOD HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL STEPHENS (OFFICE MANAGER)
(706) 543-1145
Entity
Organization
Contact information
Practice address
402 MCKINLEY DRIVE, ATHENS, GA 30601
(706) 543-1145
(706) 549-0056
Mailing address
402 MCKINLEY DRIVE, ATHENS, GA 30601
(706) 543-1145
(706) 549-0056
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
07/29/2024
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