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Organization
COMPREHENSIVE CARE OF GEORGIA, INC.
Active
Organization
COMPREHENSIVE CARE OF GEORGIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KYLE STELLBAUER (CFO)
(678) 347-2153
Entity
Organization
Contact information
Practice address
5400 LAUREL SPRINGS PKWY STE 1404, SUWANEE, GA 30024-6098
(678) 347-2153
Mailing address
5400 LAUREL SPRINGS PKWY STE 1404, SUWANEE, GA 30024-6098
(678) 347-2153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
NULL
163WI0500X
Infusion Therapy Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
207RI0200X
Infectious Disease Physician
—
NULL
207RI0200X
Infectious Disease Physician
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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