Athens Medical Group LLC

NPI #1043444714 in Crawfordsville, Indiana

Provider Information

NPI Number: 1043444714
Entity Type: Organization
Organization Name: Athens Medical Group LLC
Primary Specialty: Family Medicine
Enumeration Date: May 11, 2009
Last Updated: May 11, 2009

Practice Location

Address: 1660 LAFAYETTE RD
City: Crawfordsville
State: Indiana
ZIP Code: 47933-4601
Phone: (765) 364-5360

Authorized Official

Name: MR. TERRANCE E WILSON
Title: CEO
Phone: (765) 423-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Orthopaedic Surgery	207X00000X
Otolaryngology	207Y00000X
Surgery	208600000X
Family Medicine	207Q00000X	Primary

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