Organization
ATHENA HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI L. LAW (OWNER)
(304) 422-5600
Entity
Organization
Contact information
Practice address
1601 GRAND CENTRAL AVE, VIENNA, WV 26105-1082
(304) 422-5600
(304) 422-5993
Mailing address
1601 GRAND CENTRAL AVE, VIENNA, WV 26105-1082
(304) 422-5600
(304) 422-5993
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578677415
—
WV
Enumeration date
08/18/2006
Last updated
01/09/2019
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