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
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 29631 (GA) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
10 other providers at this address
- Athens Model Neighborhood Health Center IncFederally Qualified Health Center (FQHC) Athens, GA NPI 1093932683
- Athens Neighborhood PharmacyCommunity/Retail Pharmacy Athens, GA NPI 1295611556
- Amy Elizabeth Kasarla, NURSE PRACTITIONERFamily Nurse Practitioner Athens, GA NPI 1508685769
- Brittany Rogers, NPPediatric Nurse Practitioner Athens, GA NPI 1265980213
- Diane Elizabeth Dunston, MDPediatric Adolescent Medicine Physician Athens, GA NPI 1629125646
- Kenny H. Esho, MDPediatrics Physician Athens, GA NPI 1003221342
- Paola Polanco Rosario, MDPediatrics Physician Athens, GA NPI 1285040618
- Stalina Cine Gowdie, MDFamily Medicine Physician Athens, GA NPI 1205143716
- Tiny Stephens, NPNurse Practitioner Athens, GA NPI 1053730325
- Tionya Lawrence, NPFamily Nurse Practitioner Athens, GA NPI 1679901920
Other federally qualified health center (fqhc) providers in Athens
- Athens Model Neighborhood Health Center IncFederally Qualified Health Center (FQHC) Athens, GA NPI 1053962902
- Athens Model Neighborhood Health Center IncFederally Qualified Health Center (FQHC) Athens, GA NPI 1093932683
- Medlink Georgia, IncFederally Qualified Health Center (FQHC) Athens, GA NPI 1215765417
- Athens Model Neighborhood Health Center IncFederally Qualified Health Center (FQHC) Athens, GA NPI 1275751448
- Athens Neighborhood Health Center IncFederally Qualified Health Center (FQHC) Athens, GA NPI 1457725152
- Medlink Georgia, IncFederally Qualified Health Center (FQHC) Athens, GA NPI 1598449829
- Medlink Georgia, IncFederally Qualified Health Center (FQHC) Athens, GA NPI 1598596173
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.