Provider Demographics
NPI:1821704966
Name:ATLANTA HOST SERVICES
Entity type:Organization
Organization Name:ATLANTA HOST SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RHIT
Authorized Official - Phone:678-200-2973
Mailing Address - Street 1:3379 PEACHTREE RD NE STE 700
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1419
Mailing Address - Country:US
Mailing Address - Phone:678-515-6092
Mailing Address - Fax:
Practice Address - Street 1:3379 PEACHTREE RD NE STE 700
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1419
Practice Address - Country:US
Practice Address - Phone:678-515-6092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2025-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty