Organization
ATHENS SLEEP AND WELLNESS CENTER
Active
Parent organization
ATHENS HEART CENTER DBA ATHENS SLEEP & WELLNESS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATHENS HEART CENTER DBA ATHENS SLEEP & WELLNESS CENTER
Authorized official
DR. SUBODH KUMAR AGRAWAL M.D (MEDICAL DIRECTOR)
(706) 613-6990
Entity
Organization
Contact information
Practice address
1490 PRINCE AVE., ATHENS, GA 30606-2210
(706) 613-6990
(706) 613-6989
Mailing address
2005 PRINCE AVE., ATHENS, GA 30606-6032
(706) 208-9700
(706) 208-0806
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
028344
GA
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
028344
GA
Other
Enumeration date
12/13/2010
Last updated
12/29/2011
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