PRINCE AVENUE PRIMARY CARE, L.L.C.

ATHENS, GA
NPI1386676211
Entity TypeOrganization
Authorized ContactTIMOTHY B GIBSON
CEO
706-227-2027
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  015584)
Enumeration Date2006-07-07
Last Update Date2009-12-28
Business Address
PRINCE AVENUE PRIMARY CARE, L.L.C.
892 PRINCE AVE
ATHENS, GA 30606-2724
Phone number: 706-227-2027
Mailing Address
PRINCE AVENUE PRIMARY CARE, L.L.C.
892 PRINCE AVE
ATHENS, GA 30606-2724
Phone number: 706-227-2027