Organization
ATHENS ATTENTIVE MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY L WINGATE III M.D. (OWNER)
(706) 354-5770
Entity
Organization
Contact information
Practice address
455 EPPS BRIDGE PKWY, BUILDING 100, SUITE 102, ATHENS, GA 30606-3347
(706) 353-2778
(706) 354-5769
Mailing address
PO BOX 5779, ATHENS, GA 30604-5779
(706) 354-5770
(706) 354-5769
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
032498
GA
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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