Organization
CSA OF ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKY B CARROLL RN (DIRECTOR OF OPERATIONS)
(678) 735-3201
Entity
Organization
Contact information
Practice address
1140 HAMMOND DR NE STE K, SUITE 350, ATLANTA, GA 30328-7274
(678) 735-3201
(678) 735-3207
Mailing address
1140 HAMMOND DR NE STE K, SUITE 350, ATLANTA, GA 30328-7274
(678) 735-3201
(678) 735-3207
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
BL04-03274
GA
Other
Enumeration date
07/30/2006
Last updated
01/05/2010
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