Provider Demographics
NPI:1154796472
Name:SYNARTIS HEALTH SERVICES LLC
Entity type:Organization
Organization Name:SYNARTIS HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-889-8425
Mailing Address - Street 1:1110 NORTHCHASE PKWY SE
Mailing Address - Street 2:SUITE #180
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-6408
Mailing Address - Country:US
Mailing Address - Phone:404-889-8425
Mailing Address - Fax:
Practice Address - Street 1:1110 NORTHCHASE PKWY SE
Practice Address - Street 2:SUITE #180
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-6408
Practice Address - Country:US
Practice Address - Phone:404-889-8425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-11
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA069208251B00000X
305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No305R00000XManaged Care OrganizationsPreferred Provider Organization