Athens Medical Group, INC
Family Medicine in Crawfordsville, IN. Organization (NPI-2).
NPI number1831205210
StatusActive
Last updated in NPPESOct 25, 2007
Details
- NPI
- 1831205210
- Entity type
- Organization (NPI-2)
- Legal business name
- Athens Medical Group, INC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Oct 25, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 207X00000X | Orthopaedic Surgery | – | – | |
| 207Y00000X | Otolaryngology | – | – | |
| 208600000X | Surgery | – | – |
Practice location
1660 Lafayette Rd100
Crawfordsville, IN 47933-4601
Phone 765-359-1660 · Fax 765-359-2233
Mailing address
1660 Lafayette Rd100
Crawfordsville, IN 47933-4601
Phone 765-359-1660 · Fax 765-359-2233
Authorized official
Teresa L Daniel
Ex Director
7653645360
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