AIDS ATHENS INC. NPI 1790276210

NPI Information

AIDS ATHENS, INC. is a clinic center in Athens, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AIDS ATHENS, INC. NPI is 1790276210. The provider is registered as an organization entity type.
The provider Other Name Is Live Forward, Inc..

The provider's business location address is:

240 NORTH AVE
ATHENS, GA
ZIP 30601-244
Phone: (706) 549-3730

The provider's authorized official is Justin Grant Gillespie .
The authorized official title is Chairman Of The Board and has the following contact phone number (706) 549-3730.

The CLIA number assigned to this NPI record is 11D1095021 - other - aids service corp with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2018 and was last updated on 5/21/2018.

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:

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