NPI | 1366695835 |
---|---|
Doing Business As | ATHENA MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | DEEPAK DAS Medcal Director 706-850-6383 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 059704) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2008-10-28 |
Last Update Date | 2023-11-20 |