Organization
ATHENA COMPLETE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY BAILEY POOL CRNP (OWNER)
(256) 262-4970
Entity
Organization
Contact information
Practice address
727 W MARKET ST, SUITE 5, ATHENS, AL 35611-2456
(256) 262-4970
(256) 262-4971
Mailing address
PO BOX 66, TANNER, AL 35671-0066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18295
AL
363LA2100X
Acute Care Nurse Practitioner
1-087387
AL
Other
Enumeration date
01/11/2007
Last updated
02/15/2017
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