| Full Name | Secd Athens |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 22051 Hwy 72 East, Athens, Alabama |
| Authorized Official Name and Position | Heather Brittany Mcdonald (REGIONAL DIRECTOR) |
| Authorized Official Contact | 2054347115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Secd Athens 4320 Montevallo Rd Mountain Brk AL 35213-2722 Ph: (205) 434-7115 | Secd Athens 22051 Hwy 72 East F Athens AL 35613-3561 Ph: (256) 262-0600 |
| NPI Number | 1235642893 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 11/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235642893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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