# AGAPE UPPER CERVICAL HEALTH CENTER, INC.

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

## Provider details

- **NPI number:** 1912342197
- **Authorized official:** DR. CHARMAINE ANTONIA HERMAN D.C (CFO/DOCTOR)
- **Authorized official phone:** (678) 393-8833

## Contact information

- **Practice address:** 1122 CAMBRIDGE SQ, SUITE A, ALPHARETTA, GA 30009-1858
- **Practice address phone:** (678) 393-8833
- **Mailing address:** 1122 CAMBRIDGE SQ, SUITE A, ALPHARETTA, GA 30009-1858
- **Mailing address phone:** (678) 393-8833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 008584 | GA | Yes |

## Other

- **Enumeration date:** 05/01/2013
- **Last updated:** 05/01/2013