Provider Demographics
NPI:1871710723
Name:SOLIANT HEALTH
Entity type:Organization
Organization Name:SOLIANT HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:KLOIBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-908-2113
Mailing Address - Street 1:1979 LAKESIDE PKWY
Mailing Address - Street 2:SUITE 800
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-5935
Mailing Address - Country:US
Mailing Address - Phone:770-908-2113
Mailing Address - Fax:770-325-0326
Practice Address - Street 1:1979 LAKESIDE PKWY
Practice Address - Street 2:SUITE 800
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-5935
Practice Address - Country:US
Practice Address - Phone:770-908-2113
Practice Address - Fax:770-325-0326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty