Organization
CCRM ATLANTA, LLC
Active
Organization
CCRM ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT TYSON (DIRECTOR, MANAGED CARE CONTRACTING)
(615) 477-6677
Entity
Organization
Contact information
Practice address
5909 PEACHTREE DUNWOODY RD, SUITE 720, ATLANTA, GA 30328-8102
(303) 908-9375
Mailing address
5909 PEACHTREE DUNWOODY RD STE 600, SANDY SPRINGS, GA 30328-8101
(770) 928-2276
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/20/2015
Last updated
07/21/2026
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