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PRIMEDOC OF ATHENS INC NPI 1164488623


NPI Information

NPI: 1164488623
Provider Name: PRIMEDOC OF ATHENS INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1199 PRINCE AVE
ATHENS, GA
ZIP 30606
Phone: (843) 237-3378
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PRIMEDOC OF ATHENS INC is an internal medicine in Athens, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRIMEDOC OF ATHENS INC NPI is 1164488623. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1199 PRINCE AVE
ATHENS, GA
ZIP 30606-797
Phone: (843) 237-3378
Fax: (843) 237-5073

The provider's authorized official is Robert Reynolds .
The authorized official title is President and has the following contact phone number (843) 237-3378.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 3/16/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP6576MEDICARE PINGEORGIA
2=========OTHERGEORGIABCBS
3DC0899OTHERGEORGIARAILROAD MEDICARE
4695069922AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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