| NPI | 1407699739 |
|---|---|
| Doing Business As | ATHENS GPR |
| Entity Type | Organization |
| Authorized Contact | KENNETH BRADLEY HALL Owner 706-726-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |