# PRESTIGE HEALTHCARE ATLANTA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316210156
- **Authorized official:** CHARIS J TRENCH-SIMMONS MD (OWNER)
- **Authorized official phone:** (404) 346-7100

## Contact information

- **Practice address:** 3886 PRINCETON LAKES WAY SW, SUITE 280, ATLANTA, GA 30331-5511
- **Practice address phone:** (404) 346-7100
- **Practice address fax:** (404) 346-1122
- **Mailing address:** 3886 PRINCETON LAKES WAY SW, SUITE 280, ATLANTA, GA 30331-5511
- **Mailing address phone:** (404) 346-7100
- **Mailing address fax:** (404) 346-1122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 058337 | GA | Yes |

## Other

- **Enumeration date:** 02/09/2012
- **Last updated:** 02/09/2012