Organization
CREATIVE CONSULTING SERVICES, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELLEN VANDERPOOL (DIRECTOR OF FINANCE)
(770) 868-5900
Entity
Organization
Contact information
Practice address
353 RESOURCE PKWY, WINDER, GA 30680-8364
(770) 868-5900
Mailing address
353 RESOURCE PKWY, WINDER, GA 30680-8364
(770) 868-5900
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000770591F
—
GA
Enumeration date
11/10/2008
Last updated
11/10/2008
Update your record
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