Provider Demographics
NPI:1508254061
Name:AMERICAN PROFESSIONAL ASSOCIATES LLC
Entity type:Organization
Organization Name:AMERICAN PROFESSIONAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-255-7440
Mailing Address - Street 1:75 REMITTANCE DR DEPT 6653
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60675-6653
Mailing Address - Country:US
Mailing Address - Phone:770-255-7500
Mailing Address - Fax:
Practice Address - Street 1:214 PERRY HWY
Practice Address - Street 2:
Practice Address - City:HAWKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31036-6748
Practice Address - Country:US
Practice Address - Phone:478-892-8585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-06
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty