Provider Demographics
NPI:1033481759
Name:ATHENS LIMESTONE HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ATHENS LIMESTONE HEALTH SERVICES, LLC
Other - Org Name:ATHENS LIMESTONE SURGERY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:COMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-233-9172
Mailing Address - Street 1:102 SANDERS ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-2418
Mailing Address - Country:US
Mailing Address - Phone:256-232-2275
Mailing Address - Fax:256-232-4401
Practice Address - Street 1:102 SANDERS ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2418
Practice Address - Country:US
Practice Address - Phone:256-232-2275
Practice Address - Fax:256-232-4401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty