Organization
PRESTIGE HEALTHCARE ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARIS J TRENCH-SIMMONS MD (OWNER)
(404) 346-7100
Entity
Organization
Contact information
Practice address
3886 PRINCETON LAKES WAY SW, SUITE 280, ATLANTA, GA 30331-5511
(404) 346-7100
(404) 346-1122
Mailing address
3886 PRINCETON LAKES WAY SW, SUITE 280, ATLANTA, GA 30331-5511
(404) 346-7100
(404) 346-1122
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
058337
GA
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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