Organization
ATHENS REGIONAL PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RODKEY (DIRECTOR PHYS PRACTICE SVCS)
(706) 475-4921
Entity
Organization
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-4921
Mailing address
1270 PRINCE AVE, SUITE 301, ATHENS, GA 30606-2185
(706) 475-4917
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
048042
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP6563
MEDICARE GROUP NUMBER
GA
Enumeration date
05/15/2007
Last updated
01/23/2009
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