# RESURGIA HEALTH SOLUTIONS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RESURGIA HEALTH SOLUTIONS PC
- **Other names:** Resurgia Fayetteville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609544493
- **Legal business name:** RESURGIA HEALTH SOLUTIONS PC
- **Authorized official:** KEVIN CHARLES (GENERAL MANAGER)
- **Authorized official phone:** (404) 445-5304

## Contact information

- **Practice address:** 1233 HIGHWAY 54 W STE 130, FAYETTEVILLE, GA 30214-4542
- **Practice address phone:** (404) 445-5304
- **Practice address fax:** (404) 445-5173
- **Mailing address:** 1100 PEACHTREE ST NE STE 200, ATLANTA, GA 30309-4829
- **Mailing address phone:** (404) 445-5304
- **Mailing address fax:** (404) 445-5173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2021
- **Last updated:** 09/06/2021