Organization
ATHENS REGIONAL PHYSICIAN SERVICES
Active
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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