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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | LICENSE | 20190026 | 01 |
Street Address |
1039 GRANT ST SE BLDG A |
City | ATLANTA |
State | GA |
Zip Code | 30315-2014 |
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 |
Find all providers in zip 30315 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1265082028 | Kmb Billing and Consulting | Clinic/Center | 2295 Parklake Dr Ne Ste 425, Atlanta, GA 30345-2812 | 2019-09-13 |
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 |
Find all providers in ATLANTA |
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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.