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General NPI Number Information
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NPI Number | 1639421704
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Entity Type | Organization
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Legal Business Name | PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 10/12/2012
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 1199 PRINCE AVENUE 1ST FLOOR
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City | ATHENS
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State | GA
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Zip | 30606-1426
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Country | US
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Telephone | 706-475-1920
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Fax | 706-475-1921
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Provider Business Mailing Address
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Address Line | 1199 PRINCE AVENUE 1ST FLOOR
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City | ATHENS
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State | GA
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Zip | 30606-1426
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Country | US
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Telephone | 706-475-1920
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Fax | 706-475-1921
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Authorized Official
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Title or Position | CEO-PIEDMONT ATHENS REGIONAL MEDICA
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Name | JAMES MICHAEL BURNETT
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Credential |
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Telephone | 706-475-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE000360
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License Number State | GA
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