Provider Demographics
NPI:1770949620
Name:ALLIED PHYSICIAN RESOURCES
Entity type:Organization
Organization Name:ALLIED PHYSICIAN RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:KYM
Authorized Official - Middle Name:
Authorized Official - Last Name:JOINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-662-2554
Mailing Address - Street 1:1750 POWDER SPRINGS RD SW
Mailing Address - Street 2:SUITE 190-116
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-4850
Mailing Address - Country:US
Mailing Address - Phone:404-662-2554
Mailing Address - Fax:877-994-2554
Practice Address - Street 1:1025 E WEST CONNECTOR
Practice Address - Street 2:SUITE 370
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-8513
Practice Address - Country:US
Practice Address - Phone:404-662-2554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management