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Contact Information

ATHENA CONSULTING LLC
3842 LEEDS AVE UNIT C
NORTH CHARLESTON, SC29405-7460
 Phone: 843-747-6634
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for ATHENA CONSULTING LLC

NPI Number 1679316889
LBN Legal business name ATHENA CONSULTING LLC
Authorized official TYLER STOUT - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2024
Last updated 11/03/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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