| Organization Name: | ATHENS ATTENTIVE MD, LLC |
| NPI Number: | 1811178569 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HARRY L WINGATE (OWNER) |
| Mailing Address: | 455 Epps Bridge Pkwy Building 100, Suite 102 Athens |
| State: | GA US |
| Postal Code: | 306063347 |
| Phone Number: | 7063532778 |
| Fax Number: | 7063545769 |
| NPI Enumeration Date: | 11/23/2007 |
| NPI Last Update Date: | 11/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 032498 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |