| Csa Of Atlanta, Llc | |
|
1140 Hammond Dr Ne Ste K Suite 350 Atlanta GA 30328-7274 | |
| (678) 735-3201 | |
| (678) 735-3207 |
| Full Name | Csa Of Atlanta, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1140 Hammond Dr Ne Ste K, Atlanta, Georgia |
| Authorized Official Name and Position | Vicky B Carroll (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6787353201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csa Of Atlanta, Llc 1140 Hammond Dr Ne Ste K Suite 350 Atlanta GA 30328-7274 Ph: (678) 735-3201 | Csa Of Atlanta, Llc 1140 Hammond Dr Ne Ste K Suite 350 Atlanta GA 30328-7274 Ph: (678) 735-3201 |
| NPI Number | 1043225758 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 01/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043225758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | BL04-03274 (Georgia) | Primary |
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