Provider Demographics
NPI:1922254820
Name:CLINCAL SUPPORT SYSTEMS
Entity Type:Organization
Organization Name:CLINCAL SUPPORT SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH INFORMATION MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRYL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-602-1600
Mailing Address - Street 1:303 PARKWAY DR NE STE 417
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1212
Mailing Address - Country:US
Mailing Address - Phone:770-785-9201
Mailing Address - Fax:770-602-1603
Practice Address - Street 1:303 PARKWAY DR NE STE 417
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1212
Practice Address - Country:US
Practice Address - Phone:770-785-9201
Practice Address - Fax:770-602-1603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty