OrganizationActive
Advanced Practice Telemedicine
NPI 1720678246 · Multi-Specialty Clinic/Center · Atlanta, GA
Provider details
- NPI number
- 1720678246
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Kitchens, Business Owner(478) 443-0964
Specialties & taxonomies
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
361 17th St Nw Unit 718
Atlanta, GA 30363-1080
Phone: (478) 443-0964
Approximate (ZIP-level) locationGet directions
Mailing address
361 17th St Nw Unit 718
Atlanta, GA 30363-1080
Registry dates
- Enumerated
- 2021-01-19
- Last updated
- 2025-05-01
- Certified
- 2025-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.