# ADVANCED PRACTICE TELEMEDICINE

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

## Provider details

- **NPI number:** 1720678246
- **Authorized official:** CHARLES E KITCHENS NP-C (BUSINESS OWNER)
- **Authorized official phone:** (478) 443-0964

## Contact information

- **Practice address:** 361 17TH ST NW UNIT 718, ATLANTA, GA 30363-1080
- **Practice address phone:** (478) 443-0964
- **Mailing address:** 361 17TH ST NW UNIT 718, ATLANTA, GA 30363-1080
- **Mailing address phone:** (478) 443-0964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/19/2021
- **Last updated:** 05/01/2025