Organization
PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC.
Active
Parent organization
PIEDMONT ATHENS REG MED CTR, INC
Other names
Piedmont Athens Regional Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIEDMONT ATHENS REG MED CTR, INC
Authorized official
JAMES MICHAEL BURNETT (CEO-PIEDMONT ATHENS REGIONAL MEDICA)
(706) 475-7000
Entity
Organization
Contact information
Practice address
1199 PRINCE AVENUE, 1ST FLOOR, ATHENS, GA 30606-1426
(706) 475-1920
(706) 475-1921
Mailing address
1199 PRINCE AVENUE, 1ST FLOOR, ATHENS, GA 30606-1426
(706) 475-1920
(706) 475-1921
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE000360
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129999A
—
GA
01
—
2137167
PK
—
Enumeration date
10/12/2012
Last updated
06/26/2024
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