Addington, Tony Keith
Addington, Tony Keith is an individual health care provider with primary practice located at 2142 W Broad St Bldg 200 Kaiser Permanente Athens Medical Center, Athens GA 30606-3509. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Addington, Tony Keith can be contacted via phone (706) 583-5000.Contact Information
Primary practice address
2142 W Broad St Bldg 200 Kaiser Permanente Athens Medical Center
Athens GA 30606-3509
Phone: (706) 583-5000
Fax: (229) 391-3686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 052526 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 052526 | Georgia |
Profile Details
| NPI number | 1093778797 |
|---|---|
| LBN Legal business name | Addington, Tony Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jan 7th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093778797 | NPPES |
| Georgia | MEDICAID | 803014102A | |
| Georgia | MEDICAID | 803014102B |
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