Organization
ATHENS BEHAVIORAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE WATKINS (BILLING)
(709) 316-1908
Entity
Organization
Contact information
Practice address
1361 JENNINGS MILL RD, STE 201, BOGART, GA 30622-2592
(706) 316-1908
(706) 316-2062
Mailing address
1361 JENNINGS MILL RD, SUITE 201, BOGART, GA 30622-2592
(706) 316-1908
(706) 316-2062
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
051255
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00958625A
—
GA
Enumeration date
04/26/2007
Last updated
08/22/2020
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