Provider Demographics
NPI:1952484461
Name:HOLISTIC HEALTH ALTERNATIVES, P.C.
Entity Type:Organization
Organization Name:HOLISTIC HEALTH ALTERNATIVES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CHARNITSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-834-8165
Mailing Address - Street 1:1223 N PARK ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-2261
Mailing Address - Country:US
Mailing Address - Phone:770-834-8165
Mailing Address - Fax:
Practice Address - Street 1:1223 N PARK ST
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-2261
Practice Address - Country:US
Practice Address - Phone:770-834-8165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR001429261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service