Provider Demographics
NPI:1841780970
Name:APOGEE 18 LLC.
Entity Type:Organization
Organization Name:APOGEE 18 LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BURKS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:423-645-7610
Mailing Address - Street 1:333 SANDY SPRINGS CIR STE 207
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3834
Mailing Address - Country:US
Mailing Address - Phone:404-606-1195
Mailing Address - Fax:
Practice Address - Street 1:333 SANDY SPRINGS CIR STE 207
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3834
Practice Address - Country:US
Practice Address - Phone:404-606-1195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7352261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy