Provider Demographics
NPI:1043945223
Name:ORJI, CHIMA BRIGHT (CROWNBIRDS LLC)
Entity Type:Individual
Prefix:
First Name:CHIMA
Middle Name:BRIGHT
Last Name:ORJI
Suffix:
Gender:M
Credentials:CROWNBIRDS LLC
Other - Prefix:
Other - First Name:CHIMA
Other - Middle Name:BRIGHT
Other - Last Name:ORJI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CROWNBIRDS LLC
Mailing Address - Street 1:6365 SELBORN DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-9403
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6365 SELBORN DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-9403
Practice Address - Country:US
Practice Address - Phone:573-529-1070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-21
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)