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1245746783
PIEDMONT ATHENS PRIMARY CARE LLC
ATHENS, GA
NPI
1245746783
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Entity Type
Organization
Authorized Contact
CHRISTY AQUINO
Director Of Provider Enrollment
470-271-3427
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2017-12-20
Last Update Date
2021-08-11
Business Address
PIEDMONT ATHENS PRIMARY CARE LLC
1199 PRINCE AVE
ATHENS, GA 30606-2797
Phone number: 706-369-5440
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Mailing Address
PIEDMONT ATHENS PRIMARY CARE LLC
PO BOX 117264
ATLANTA, GA 30368-7264
Phone number: 770-801-2500
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