Organization
AIDS ATHENS, INC.
Active
Other names
Live Forward, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN GRANT GILLESPIE (CHAIRMAN OF THE BOARD)
(706) 549-3730
Entity
Organization
Contact information
Practice address
240 NORTH AVE, ATHENS, GA 30601-2244
(706) 549-3730
Mailing address
240 NORTH AVE, ATHENS, GA 30601-2244
(706) 549-3730
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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