Atha, Rebecca Jean

Atha, Rebecca Jean is an individual health care provider with primary practice located at 1350 Walton Way , Augusta GA 30901-2612. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Atha, Rebecca Jean can be contacted via phone (706) 737-9250.

Contact Information

Primary practice address
1350 Walton Way Augusta GA 30901-2612
Phone: (706) 737-9250
Fax: (706) 733-0697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 038170 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 038170 Georgia

Profile Details

NPI number 1205888500
LBN Legal business name Atha, Rebecca Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jun 16th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205888500 NPPES
Georgia MEDICAID 000635643C
Georgia MEDICAID G38170
Georgia Other 050045869

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