Provider Demographics
NPI:1518375039
Name:4FRONT HEALTHCARE OF ATLANTA
Entity type:Organization
Organization Name:4FRONT HEALTHCARE OF ATLANTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAUGTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-313-9935
Mailing Address - Street 1:34 PEACHTREE ST NW
Mailing Address - Street 2:SUITE 2360
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-2316
Mailing Address - Country:US
Mailing Address - Phone:877-313-8983
Mailing Address - Fax:404-480-4137
Practice Address - Street 1:34 PEACHTREE ST NW
Practice Address - Street 2:SUITE 2360
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303
Practice Address - Country:US
Practice Address - Phone:404-480-4136
Practice Address - Fax:404-480-4137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-28
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based