Healthcare Provider Details

I. General information

NPI: 1932536000
Provider Name (Legal Business Name): NRS2000
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2013
Last Update Date: 10/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1813 WEE KIRK RD SE
ATLANTA GA
30316-4435
US

IV. Provider business mailing address

1813 WEE KIRK RD SE
ATLANTA GA
30316-4435
US

V. Phone/Fax

Practice location:
  • Phone: 770-912-6446
  • Fax:
Mailing address:
  • Phone: 770-912-6446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROLINE MARIE WILLIAMS
Title or Position: DIRECTOR/CEO
Credential: B.A., M.S., CRC,
Phone: 770-912-6446