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General NPI Number Information
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NPI Number | 1083763080
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Entity Type | Organization
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Legal Business Name | ATHENS REGIONAL PHYSICIAN SERVICES, INC.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 1500 OGLETHORPE AVENUE, SUITE 600A
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City | ATHENS
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State | GA
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Zip | 30606
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Country | US
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Telephone | 706-369-5440
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Fax | 706-369-5490
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Provider Business Mailing Address
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Address Line | PO BOX 161463
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City | ATLANTA
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State | GA
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Zip | 30321
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Country | US
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Telephone | 706-369-5440
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Fax | 706-369-5490
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Authorized Official
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Title or Position | ASSOC DIR REVENUE CYCLE MANAGEMENT
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Name | MS. CHRISTY WILBANKS
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Credential |
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Telephone | 706-369-5472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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