NPI 1003261629

Passport Health Holdings, LLC

Organisation Community Health Worker Roswell, GA

Practice location

Address: 576 Colonial Park Dr Suite 100, Roswell, GA 30075
Phone: (844) 358-8648
Fax: (877) 877-6875
Mailing address: 4343 East Outlier Blv. Suite 100w, Phoenix, AZ 85008-6507

Authorised official

Name: Paul Fishburn
Title: Coo
Phone: (480) 646-9020

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Georgia →

Public Health & General Preventive Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X

Other Preventive Medicine providers in Georgia →

Registry record

NPI: 1003261629
Entity type: Organization
NPI issued: 2 May 2016
Record last updated: 20 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.