Organization
ATHENS MEDICAL GROUP, LLC
Active
Other names
Athens Orthopedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE E WILSON (CEO)
(765) 423-6161
Entity
Organization
Contact information
Practice address
1702 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-1033
(765) 362-4400
(765) 364-1797
Mailing address
1660 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-4601
(765) 364-5360
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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