Provider Demographics
NPI:1679217426
Name:SEMES INC
Entity Type:Organization
Organization Name:SEMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGINGMEMBER/CLINICAL COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRIDGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-418-4263
Mailing Address - Street 1:5009 ROSWELL RD STE 120
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-2205
Mailing Address - Country:US
Mailing Address - Phone:470-814-4263
Mailing Address - Fax:404-266-2294
Practice Address - Street 1:5009 ROSWELL RD STE 120
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-2205
Practice Address - Country:US
Practice Address - Phone:470-814-4263
Practice Address - Fax:404-266-2294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty