Provider Demographics
NPI:1528479870
Name:CFS HEALTH MANAGEMENT
Entity type:Organization
Organization Name:CFS HEALTH MANAGEMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WALID
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-245-6244
Mailing Address - Street 1:2000 VILLAGE PROFESSIONAL DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-8498
Mailing Address - Country:US
Mailing Address - Phone:678-245-6244
Mailing Address - Fax:678-880-8151
Practice Address - Street 1:2000 VILLAGE PROFESSIONAL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-8498
Practice Address - Country:US
Practice Address - Phone:678-245-6244
Practice Address - Fax:678-880-8151
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CFS HEALTH MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-08
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA062097174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty