Provider Demographics
NPI:1649693045
Name:AVANTGARDE CONSULTANTS, INC.
Entity type:Organization
Organization Name:AVANTGARDE CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANEKWE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ONWUANYI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-856-0837
Mailing Address - Street 1:10945 STATE BRIDGE RD STE 401-708
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-8164
Mailing Address - Country:US
Mailing Address - Phone:770-856-0837
Mailing Address - Fax:770-410-3843
Practice Address - Street 1:10945 STATE BRIDGE RD STE 401-708
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-8164
Practice Address - Country:US
Practice Address - Phone:770-856-0837
Practice Address - Fax:770-410-3843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA58088207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty