OrganizationAthens Spine Center PcPain MedicineAllopathic & Osteopathic PhysiciansPractice Address830 King Ave, Athens, GA 30606-2889(706) 425-2400PECOS EnrollmentBased on the most recent information from CMS, provider Athens Spine Center Pc 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 4 days ago.Profile DetailsProvider ID1053488189Provider TypeOrganizationFull NameAthens Spine Center PcSubpartNoEnumeration Date11/30/2006Last Updated2/18/2015Contact InformationPractice LocationPractice Address830 King Ave, Athens, GA 30606-2889Phone(706) 425-2400Fax(706) 425-2410Mailing LocationMailing Address830 King Ave, Athens, GA 30606-2889Phone(706) 425-2400Fax(706) 425-2410Authorized OfficialNameMegdal, William H (Physician Owner)Phone(706) 425-2400Provider TaxonomiesCodeDescriptionLicenseCode208VP0000XPrimaryDescriptionPain MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID537122616ADescriptionMedicaidIssuerUnlistedGeorgia