OrganizationActive
Community Heath and Immunization Services, LLC
NPI 1124765540 · Preventive Medicine/Occupational Environmental Medicine Physician · Decatur, GA
Provider details
- NPI number
- 1124765540
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Rebekah Suazo, Medical Billing Supervisor
Practice location
315 W Ponce De Leon Ave Ste 585
Decatur, GA 30030-2404
Phone: (844) 358-3733
Mailing address
668 N 44th St Ste 100w
Phoenix, AZ 85008-6507
Registry dates
- Enumerated
- 2022-05-17
- Last updated
- 2022-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.