Organization
ATHENS REGIONAL PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RODKEY (ADMINISTRATIVE DIRECTOR)
(706) 475-4920
Entity
Organization
Contact information
Practice address
1500 OGLETHORPE AVE, SUITE 200A, ATHENS, GA 30606-2179
(706) 353-0101
(706) 613-6562
Mailing address
1500 OGLETHORPE AVE, SUITE 200A, ATHENS, GA 30606-2179
(706) 353-0101
(706) 613-6562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP5134
MEDICARE GROUP NUMBER
GA
Enumeration date
01/09/2007
Last updated
07/01/2011
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