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Athens Neighborhood Diagnostic Center

Organization Active NPI Federally Qualified Health Center (FQHC) · Athens, GA

NPI 1104285659 · NPPES record last updated Jul 11, 2018

Key facts

NPI
1104285659
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
ATHENS NEIGHBORHOOD DIAGNOSTIC CENTER
Practice address
675 College Ave
Athens, GA 30601
Phone
(706) 546-5526
Fax
(706) 546-5867
NPI assigned
Feb 12, 2016
Organization subpart
No

Authorized official

Name
Ms. Almena Smith
Title
Billing Manager
Phone
(706) 850-9041

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

3320 Old Jefferson Rd
Ste 300A
Athens, GA 30607
Phone (706) 546-7417

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0202X 29631 GA
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

675 College Ave
Athens, GA 30601

Mailing address

P O Box 147
Athens, GA 30603-1442
Phone (706) 850-9041

Other practice location 1

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

Other providers in Athens, GA

All providers in Athens, GA · Federally Qualified Health Center (FQHC) in Georgia

Sources for this page

Verify at the official NPI Registry.