Organization
ATHENS REGIONAL PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY RANSFORD-DES JARDINES (ADMINISTRATIVE DIRECTOR)
(706) 475-4921
Entity
Organization
Contact information
Practice address
1500 OGLETHORPE AVE, STE 600A, ATHENS, GA 30606-2179
(706) 475-4921
(706) 208-8259
Mailing address
1500 OGLETHORPE AVE, STE 600A, ATHENS, GA 30606-2179
(706) 475-4350
(706) 208-8259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP7801
MEDICARE GROUP NUMBER
GA
Enumeration date
07/31/2006
Last updated
12/20/2013
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