Provider Demographics
NPI:1699573907
Name:THREATS, ART L
Entity type:Individual
Prefix:
First Name:ART
Middle Name:L
Last Name:THREATS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 DAVENHAM CT
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-8985
Mailing Address - Country:US
Mailing Address - Phone:404-606-4409
Mailing Address - Fax:404-606-4409
Practice Address - Street 1:270 DAVENHAM CT
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-8985
Practice Address - Country:US
Practice Address - Phone:404-606-4409
Practice Address - Fax:404-606-4409
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications