Healthcare Provider Details

I. General information

NPI: 1508254061
Provider Name (Legal Business Name): AMERICAN PROFESSIONAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2015
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 PERRY HWY
HAWKINSVILLE GA
31036-6748
US

IV. Provider business mailing address

75 REMITTANCE DR DEPT 6653
CHICAGO IL
60675-6653
US

V. Phone/Fax

Practice location:
  • Phone: 478-892-8585
  • Fax:
Mailing address:
  • Phone: 770-255-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: CARMEN SIMENS
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 770-255-7440