Organization · Type 2 NPI

Athens Neighborhood Diagnostic Center

Federally Qualified Health Center (FQHC) · Athens, GA

NPI number 1104285659 Active

Practice location

675 College Ave
Athens, GA 30601

Fax (706) 546-5867

Mailing address

P O Box 147
Athens, GA 30603-1442

Other practice locations

  • 3320 Old Jefferson Rd Ste 300A, Athens, GA 30607-1442 · (706) 850-9041

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X29631 (GA)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

10 other providers at this address

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About NPI 1104285659

Athens Neighborhood Diagnostic Center's National Provider Identifier is 1104285659, issued on Feb 12, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Athens, GA. The record was last updated on Jul 11, 2018.