Organization
CLINICAL SUPPORT SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARION MAXWELL FITZGERALD (PRESIDENT)
(770) 916-1848
Entity
Organization
Contact information
Practice address
1900 THE EXCHANGE SE, STE 390, ATLANTA, GA 30339-2022
(770) 916-1848
(770) 988-8958
Mailing address
1900 THE EXCHANGE SE, STE 390, ATLANTA, GA 30339-2022
(770) 916-1848
(770) 988-8958
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00559072A
—
GA
Enumeration date
10/10/2006
Last updated
08/22/2020
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