Provider Demographics
NPI:1821545997
Name:CORPORATE HEALTH PARTNERS, LLC
Entity Type:Organization
Organization Name:CORPORATE HEALTH PARTNERS, LLC
Other - Org Name:CORPORATE HEALTH PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:OBRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-621-5556
Mailing Address - Street 1:2105 BARRETT PARK DR NW
Mailing Address - Street 2:STE106
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-7080
Mailing Address - Country:US
Mailing Address - Phone:675-486-8610
Mailing Address - Fax:678-486-8610
Practice Address - Street 1:2105 BARRETT PARK DR NW
Practice Address - Street 2:STE106
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7080
Practice Address - Country:US
Practice Address - Phone:675-486-8610
Practice Address - Fax:678-848-6643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA08BBSCZOtherMEDICARE
GA08BBSCZOtherMEDICARE