Provider Demographics
NPI:1508232364
Name:CONCEPTS MANAGEMENT, LLC
Entity Type:Organization
Organization Name:CONCEPTS MANAGEMENT, LLC
Other - Org Name:VITALITY WELLNESS AND AESTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CATALANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-840-8811
Mailing Address - Street 1:860 JOHNSON FERRY RD
Mailing Address - Street 2:SUITE 140-107
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1435
Mailing Address - Country:US
Mailing Address - Phone:404-567-6608
Mailing Address - Fax:866-539-7164
Practice Address - Street 1:5885 GLENRIDGE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5512
Practice Address - Country:US
Practice Address - Phone:404-567-6608
Practice Address - Fax:866-539-7164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA61081207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty