Athletico Ltd
NPI #1053195990 in Oxford, Mississippi
Provider Information
- NPI Number
- 1053195990
- Entity Type
- Organization
- Organization Name
- Athletico Ltd
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 22, 2023
- Last Updated
- Aug 22, 2023
Practice Location
- Address
- 2205 JEFFERSON DAVIS DR
- City
- Oxford
- State
- Mississippi
- ZIP Code
- 38655-5221
- Phone
- (662) 238-2800
Authorized Official
- Name
- JUANA GRANADOS
- Title
- CREDENTIALING MANAGER
- Phone
- (630) 575-1980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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