CLARK ATLANTA HEALTHCARE SERVICES – NPI #1093225393
Clinic/Center

CLARK ATLANTA HEALTHCARE SERVICES is an AHC clinic located in ATLANTA, GA. NPPES has assigned the NPI number 1093225393 to CLARK ATLANTA HEALTHCARE SERVICES on October 02, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLARK ATLANTA HEALTHCARE SERVICES below.

NPI Profile for
CLARK ATLANTA HEALTHCARE SERVICES

NPI Number
1093225393
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLARK ATLANTA HEALTHCARE SERVICES
Primary location
3201 ATLANTA INDUSTRIAL PARKWAY
SUITE 302
ATLANTA, GA 30331
Phone: (678) 791-9467 Fax:
Mailing address
3201 ATLANTA INDUSTRIAL PKWY NW STE 302
ATLANTA, GA 30331-1048
Phone: Fax:
Organization Subpart
No
Authorized Official
ANDRE HAM
OWNER
Phone: (678) 791-9467
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.