Healthcare Provider Details

I. General information

NPI: 1942351952
Provider Name (Legal Business Name): HARANDI, HARANDI, SPELIOS AND ASSOCIATES BUCKHEAD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3365 PIEDMONT RD NE SUITE 1110
ATLANTA GA
30305-1794
US

IV. Provider business mailing address

3365 PIEDMONT RAOD NE SUITE 1110
ATLANTA GA
30305
US

V. Phone/Fax

Practice location:
  • Phone: 404-237-3070
  • Fax: 404-237-4561
Mailing address:
  • Phone: 404-237-3070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM ANDREW LITTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 678-879-1177