OrganizationPrimedoc Of Athens IncInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address775 Sunset Drive, Athens, GA 30606(706) 425-1500(843) 237-3378PECOS EnrollmentBased on the most recent information from CMS, provider Primedoc Of Athens Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1417112301Provider TypeOrganizationFull NamePrimedoc Of Athens IncSubpartNoEnumeration Date7/21/2008Last Updated7/21/2008Contact InformationPractice LocationPractice Address775 Sunset Drive, Athens, GA 30606Phone(706) 425-1500FaxUnlisted FaxMailing LocationMailing AddressPO Box 601153, Charlotte, NC 28260-1153Phone(843) 237-3378Fax(843) 237-5073Authorized OfficialNameReynolds, Robert (President/Owner)Phone(828) 210-3260Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID695069922ADescriptionMedicaidIssuerUnlistedGeorgiaIDDC0899DescriptionOtherIssuerRAILROAD MEDICAREGeorgia