NPI 1649130311

Za1603 Lc

Organisation Point of Service Lithonia, GA

Practice location

Address: 1824 Herringbone Holw, Lithonia, GA 30058-5516
Phone: (470) 486-9860

Authorised official

Name: Dashna Louis-Charles
Title: Clinician Specialist
Phone: (470) 486-9860

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Georgia →

Registry record

NPI: 1649130311
Entity type: Organization
NPI issued: 14 Nov 2025
Record last updated: 14 Nov 2025

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.