Provider Demographics
NPI:1427820570
Name:ATLANTA PRO HEALTH CMO, LLC
Entity type:Organization
Organization Name:ATLANTA PRO HEALTH CMO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NARINDER
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:SEWAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-797-7342
Mailing Address - Street 1:3885 HOLCOMB BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2269
Mailing Address - Country:US
Mailing Address - Phone:404-797-7342
Mailing Address - Fax:470-275-1030
Practice Address - Street 1:3885 HOLCOMB BRIDGE RD
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-2269
Practice Address - Country:US
Practice Address - Phone:404-797-7342
Practice Address - Fax:470-275-1030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty