Provider Demographics
NPI:1659510857
Name:A1 MANAGEMENT SERVICES INC
Entity Type:Organization
Organization Name:A1 MANAGEMENT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:FERIA
Authorized Official - Last Name:GONGORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-539-1641
Mailing Address - Street 1:175 BOOTH ROAD APT D-10
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30008
Mailing Address - Country:US
Mailing Address - Phone:404-539-1641
Mailing Address - Fax:
Practice Address - Street 1:175 BOOTH RD SW
Practice Address - Street 2:APT D-10
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30008-3295
Practice Address - Country:US
Practice Address - Phone:404-539-1641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty