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Organization

ATHENS REGIONAL PHYSICIAN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN M RODKEY (ADMINISTRATIVE DIRECTOR)
(706) 475-4920
Entity
Organization

Contact information

Practice address
1500 OGLETHORPE AVE, SUITE 2200, ATHENS, GA 30606-2179
(706) 543-0471
(706) 543-6091
Mailing address
1500 OGLETHORPE AVE, SUITE 2200, ATHENS, GA 30606-2179
(706) 543-0471
(706) 543-6091

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
058071
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GRP5133
MEDICARE GROUP NUMBER
GA
Enumeration date
07/18/2006
Last updated
07/14/2011
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