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Organization
PRO- HOLISM PROFESSIONAL CORPORATION
Active
Organization
PRO- HOLISM PROFESSIONAL CORPORATION
Active
Parent organization
ADMINISTRATIVE BUSINESS COUNCIL, '(ABC)' INC.
Other names
Primary Medical Healthcare Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADMINISTRATIVE BUSINESS COUNCIL, '(ABC)' INC.
Authorized official
DR. REDA COSTON LMP, D.SC., PSYD/PHD (HEALTHCARE ADMINISTRATION EXECUTIVE)
(404) 800-5550
Entity
Organization
Contact information
Practice address
2480 WINDY HILL RD SE, SUITE 206, MARIETTA, GA 30067-8644
(770) 953-0074
Mailing address
2480 WINDY HILL RD SE STE 206, MARIETTA, GA 30067-8656
(404) 800-5550
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
GA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
FL
251E00000X
Home Health Agency
Primary
—
GA
251J00000X
Nursing Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
GA
261Q00000X
Clinic/Center
—
GA
302R00000X
Health Maintenance Organization
—
NULL
305R00000X
Preferred Provider Organization
—
GA
Other
Enumeration date
10/06/2009
Last updated
07/16/2020
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