11D2065576 CLIA NUMBER - ARTHRITIS CENTER OF NORTH GEORGIA - ATHENS

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Laboratory Demographics

CLIA Number: 11D2065576

Facility Name: ARTHRITIS CENTER OF NORTH GEORGIA - ATHENS

Facility Address:
957 BAXTER STREET
ATHENS, GA
ZIP 30606
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Facility Phone Number: 706 410-9270

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1184010233

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

CLIA Record

Field Name	Field Value
CLIA Number	11D2065576
LAB Type	Physician Office
Facility Name	ARTHRITIS CENTER OF NORTH GEORGIA - ATHENS
Street	957 BAXTER STREET
City	ATHENS
State	GA
ZIP	30606
Phone	706 410-9270
CertificateType	4
CertificateEffectiveDate	9/11/2023
CertificateExpirationDate	9/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024