Provider Demographics
NPI:1760609218
Name:ATHENS WOMENS CLINIC, P.C.
Entity Type:Organization
Organization Name:ATHENS WOMENS CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BLEDSOE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:423-745-3394
Mailing Address - Street 1:817 COOK DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303-3485
Mailing Address - Country:US
Mailing Address - Phone:423-745-3394
Mailing Address - Fax:423-745-4496
Practice Address - Street 1:817 COOK DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-3485
Practice Address - Country:US
Practice Address - Phone:423-745-3394
Practice Address - Fax:423-745-4496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty