Organization
ATHENS PHYSICIANS PRACTICE LLC
Active
Parent organization
ATHENS PHYSICIANS PRACTICE LLC
Other names
MEDICAL ASSOCIATES OF ATHENS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATHENS PHYSICIANS PRACTICE LLC
Authorized official
JESS N JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
711 COOK DR, SUITE 110, ATHENS, TN 37303-3486
(423) 746-0122
(423) 745-9456
Mailing address
711 COOK DR, SUITE 110, ATHENS, TN 37303-3486
(423) 746-0122
(423) 745-9456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3374004
—
TN
01
—
CJ3773
MEDICARE RAILROAD
—
Enumeration date
07/28/2006
Last updated
07/23/2010
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