Organization
CLARK ATLANTA HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE HAM (OWNER)
(678) 791-9467
Entity
Organization
Contact information
Practice address
3201 ATLANTA INDUSTRIAL PARKWAY, SUITE 302, ATLANTA, GA 30331
(678) 791-9467
Mailing address
3201 ATLANTA INDUSTRIAL PKWY NW STE 302, ATLANTA, GA 30331-1048
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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