Patorgis, Charles J

Patorgis, Charles J is an individual health care provider with primary practice located at 3225 Cumberland Blvd Se Suite 900, Atlanta GA 30339-6407. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Patorgis, Charles J can be contacted via phone (404) 351-2220.

Contact Information

Primary practice address
3225 Cumberland Blvd Se Suite 900 Atlanta GA 30339-6407
Fax: (404) 355-5624
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 000961 Georgia

Profile Details

NPI number 1063476729
LBN Legal business name Patorgis, Charles J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Mar 12th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063476729 NPPES
Georgia MEDICAID 000521111A

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