| Doctor Name: | DR. TONY KEITH ADDINGTON |
| NPI Number: | 1093778797 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 052526 |
| Business Practice Address: | 2142 West Broad Street, Bldg. 200 Kaiser Permanente Athens Medical Center Athens, GA - 30606 |
| Business Phone Number: | 7065835000 |
| Business Fax Number: | 2293913686 |
| Mailing Address: | 3495 Piedmont Road, Ne, Nine Piedmont Center ATLANTA |
| State: | GA |
| Postal Code: | 30305 |
| Phone Number: | 4043647070 |
| Fax Number: | 2293913686 |
| NPI Enumeration Date: | 04/11/2006 |
| NPI Last Update Date: | 09/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 052526 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |