Provider Demographics
NPI:1851680854
Name:CIRRUS ALLIED
Entity Type:Organization
Organization Name:CIRRUS ALLIED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR RECRUITER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:HIDOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-993-2290
Mailing Address - Street 1:3000 NORTHWOODS PKWY,
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NORWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30821
Mailing Address - Country:US
Mailing Address - Phone:678-993-2290
Mailing Address - Fax:
Practice Address - Street 1:3000 NORTHWOODS PKWY,
Practice Address - Street 2:SUITE 105
Practice Address - City:NORWOOD
Practice Address - State:GA
Practice Address - Zip Code:30071
Practice Address - Country:US
Practice Address - Phone:678-993-2290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000002578246Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationGroup - Multi-Specialty