| Srd Athens | |
|
22026 Gateway Blvd Suites A Athens AL 35613 | |
| (256) 383-8037 | |
| Not Available |
| Full Name | Srd Athens |
|---|---|
| Speciality | Dentist |
| Location | 22026 Gateway Blvd, Athens, Alabama |
| Authorized Official Name and Position | Christyn Shields (CONTROLLER) |
| Authorized Official Contact | 2563205903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Srd Athens 110 E 5th St Tuscumbia AL 35674-2410 Ph: (256) 383-4990 | Srd Athens 22026 Gateway Blvd Suites A Athens AL 35613 Ph: (256) 383-8037 |
| NPI Number | 1053029116 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053029116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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› Verified 5 days ago
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