| Recovery Consultants Of Atlanta, Inc. | |
|
1957 Lakeside Pkwy Ste 510 Tucker GA 30084-5859 | |
| (404) 289-0313 | |
| (404) 289-0314 |
| Full Name | Recovery Consultants Of Atlanta, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1957 Lakeside Pkwy Ste 510, Tucker, Georgia |
| Authorized Official Name and Position | Cassandra Collins (CEO) |
| Authorized Official Contact | 4042890313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Consultants Of Atlanta, Inc. Po Box 479 Avondale Estates GA 30002-0479 Ph: (404) 289-0313 | Recovery Consultants Of Atlanta, Inc. 1957 Lakeside Pkwy Ste 510 Tucker GA 30084-5859 Ph: (404) 289-0313 |
| NPI Number | 1851482376 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 1456654417 |
|---|---|
| Medicare Enrollment ID | O20160125002497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851482376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Georgia) | Primary |
| 291U00000X | Clinical Medical Laboratory | 11D1020819 (Georgia) | Secondary |
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