Organization
ATHENS LIMESTONE PEDIATRIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEBRINA HOLT (COMPLIANCE DIRECTOR)
(256) 216-9648
Entity
Organization
Contact information
Practice address
101 FITNESS WAY STE 2100, ATHENS, AL 35611-2494
(256) 216-9730
(256) 216-9731
Mailing address
700 W MARKET ST, ATHENS, AL 35611-2457
(256) 216-9730
(256) 216-9731
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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