Healthcare Provider Details

I. General information

NPI: 1225406788
Provider Name (Legal Business Name): PLATINUM BILLING ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2015
Last Update Date: 09/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 HUNTLEIGH CHASE DR
DALLAS GA
30132-6092
US

IV. Provider business mailing address

194 HUNTLEIGH CHASE DR
DALLAS GA
30132-6092
US

V. Phone/Fax

Practice location:
  • Phone: 404-322-5435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: JAMES PARKER
Title or Position: CEO
Credential:
Phone: 404-322-5435