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General NPI Number Information
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NPI Number | 1942065552
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Entity Type | Organization
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Legal Business Name | ATHENS JOINT AND SPINE CENTER LLC
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Dates
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Enumeration Date | 02/14/2024
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1765 OLD WEST BROAD ST BLDG 3-400
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City | ATHENS
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State | GA
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Zip | 30606-2853
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Country | US
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Telephone | 706-549-1663
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Fax |
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Provider Business Mailing Address
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Address Line | 1765 OLD WEST BROAD ST BLDG 3-400
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City | ATHENS
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State | GA
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Zip | 30606-2853
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL BOBLITZ
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Credential |
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Telephone | 706-433-3120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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