Healthcare Provider Details

I. General information

NPI: 1679801658
Provider Name (Legal Business Name): APEX HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 SALEM RD SE SUITE B
CONYERS GA
30013-1843
US

IV. Provider business mailing address

1000 PTREE IND BLVD #6-306
SUWANEE GA
30024-6737
US

V. Phone/Fax

Practice location:
  • Phone: 770-278-0590
  • Fax: 770-278-0593
Mailing address:
  • Phone: 678-541-0777
  • Fax: 678-541-0780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateGA

VIII. Authorized Official

Name: MRS. KATIE ANNE RODRIGUEZ
Title or Position: BILLING MANAGER
Credential:
Phone: 678-541-0777