Organization
AIDS ATHENS, INC.
Active
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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