Provider Demographics
NPI:1578459822
Name:FILER, CHANNEL G
Entity type:Individual
Prefix:
First Name:CHANNEL
Middle Name:G
Last Name:FILER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3384 MOUNT ZION RD APT 3103
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7867
Mailing Address - Country:US
Mailing Address - Phone:347-905-3736
Mailing Address - Fax:
Practice Address - Street 1:909 EAGLES LANDING PKWY STE 440
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6398
Practice Address - Country:US
Practice Address - Phone:470-575-8003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory