Clinical Support Services,Inc

LBN: Clinical Support Services,Inc
Clinical Support Services,Inc is an health care organization with primary practice located at 1900 The Exchange Se Ste 390, Atlanta GA 30339-2022. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Clinical Support Services,Inc can be contacted via phone (770) 916-1848, or through Fitzgerald, Marion Maxwell via phone (770) 916-1848.

Contact Information

Primary practice address
1900 The Exchange Se Ste 390 Atlanta GA 30339-2022
Phone: (770) 916-1848
Fax: (770) 988-8958
Website:
Map and Directions
Authorized official contact:
Name: Fitzgerald, Marion Maxwell
Phone: (770) 916-1848

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1699863472
LBN Legal business name Clinical Support Services,Inc
DBA Doing business as
Authorized official Fitzgerald, Marion Maxwell
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699863472 NPPES
Georgia MEDICAID 00559072A

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