| Advanced Practice Telemedicine | |
|
361 17th St Nw Unit 718 Atlanta GA 30363-1080 | |
| (478) 443-0964 | |
| Not Available |
| Full Name | Advanced Practice Telemedicine |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 361 17th St Nw Unit 718, Atlanta, Georgia |
| Authorized Official Name and Position | Charles E Kitchens (BUSINESS OWNER) |
| Authorized Official Contact | 4784430964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Practice Telemedicine 361 17th St Nw Unit 718 Atlanta GA 30363-1080 Ph: (478) 443-0964 | Advanced Practice Telemedicine 361 17th St Nw Unit 718 Atlanta GA 30363-1080 Ph: (478) 443-0964 |
| NPI Number | 1720678246 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 05/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720678246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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