CRYOGEN PLUS LLC


Address: 1039 Grant St Se Bldg A, Atlanta, GA 30315-2014
Phone: 4704282139

CRYOGEN PLUS LLC (NPI# 1790307924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790307924
Entity Type Organization
Organization Name CRYOGEN PLUS LLC
Practice Address 1039 Grant St Se Bldg A
Atlanta
GA 30315-2014
Mailing Address 461 Sandy Creek Rd Ste 41262
Fayetteville
GA 30214-4290
Practice Telephone 4704282139
Mailing Telephone 2679733005
Enumeration Date 2020-05-11
Last Update Date 2020-05-20
Authorized Official Name TYNISHA ASTREL (OWNER)
Authorized Official Telephone 4704282139
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA LICENSE 20190026 01

Office Location

Street Address 1039 GRANT ST SE BLDG A
City ATLANTA
State GA
Zip Code 30315-2014

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083181341 Erin Cole Specialist/Technologist Lakewood Ave Se, Atlanta, GA 30315 2018-10-25
1942701081 Julie Crocker Dental Hygienist 1046 Ridge Ave. Sw, Atlanta, GA 30315 2018-02-23
1457695850 Dominica Aquino Morales-gibson Physical Therapist 2850 Springdale Road Sw, Atlanta, GA 30315 2012-11-26
1912264813 Maxwell Uhakheme Internal Medicine 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 2012-04-16
1427329093 Sulonda Smith Counselor 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 2012-01-13
1407152507 Gerald Leroy Griffin Pharmacist 520 Boulevard, Atlanta, GA 30315 2011-02-07
1245404854 Tunisia Finch Cornelius Dermatology 1039 Grant St Se Ste A-11, Atlanta, GA 30315 2008-04-15
1356512180 Chandra Blakely Counselor 215 Lakewood Way, Suite 205, Atlanta, GA 30315 2008-03-19
1104043967 Alvin H. Clair, M.d.p.c. Dermatology 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 2007-04-20
1396877742 Scott M Russell Speech-Language Pathologist 1364 Clifton Road, Atlanta, GA 30315 2007-03-12
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1194378745 Georgia Therapy Clinic, LLC Clinic/Center 1800 Peachtree St Nw Ste 730, Atlanta, GA 30309-2511 2019-07-23
1588015648 Meridian Corporate Healthcare of Georgia P C Clinic/Center 1000 Techwood Dr Nw, Atlanta, GA 30318 2016-06-29
1598000234 Medical Wellness Group Clinic/Center 2015 Mlk Jr Drive, Atlanta, GA 30310 2012-12-06
1861788986 Dynamic 1 Medical and Rehab Clinic Clinic/Center 2015 Martin Luther King Jr Drive Suite B, Atlanta, GA 30310 2011-06-27
1124333547 Benchmark Healthcare Services LLC Clinic/Center 550 Peachtree St Ne Ste 1775, Atlanta, GA 30308-2264 2010-08-10
1851604375 Independent Physical Therapy of Ga, LLC Clinic/Center 3200 Downwood Cir Nw Ste 380, Atlanta, GA 30327-1610 2010-07-26
1366595118 Thacker & Thompson Clinic/Center 619 Rankin St Ne, Atlanta, GA 30308-2920 2007-01-18
1639289515 Center for Medicine Endocrinology & Diabetes LLC Clinic/Center 5667 Peachtree Dunwoody Rd., Ste. 150, Atlanta, GA 30342 2006-08-30
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Competitor

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City ATLANTA
Zip Code 30315

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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