Provider Demographics
NPI:1225796055
Name:COMPASS MEDICAL RESOURCES & CONCIERGE
Entity Type:Organization
Organization Name:COMPASS MEDICAL RESOURCES & CONCIERGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:424-535-4203
Mailing Address - Street 1:1035 SCALES RD APT 5206
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4591
Mailing Address - Country:US
Mailing Address - Phone:424-535-4203
Mailing Address - Fax:
Practice Address - Street 1:3296 SUMMIT RIDGE PKWY STE 920
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1625
Practice Address - Country:US
Practice Address - Phone:424-535-4203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty