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1104536853
GOODLIFE CARDIAC CARE, LLC
SMYRNA, GA
NPI
1104536853
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Entity Type
Organization
Authorized Contact
LAQUETA NELSON
Owner/Provider
770-383-1415
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
GOODLIFE CARDIAC CARE, LLC
2400 HERODIAN WAY SE STE 220
SMYRNA, GA 30080-8500
Phone number: 770-383-1415
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Mailing Address
GOODLIFE CARDIAC CARE, LLC
2400 HERODIAN WAY SE STE 220
SMYRNA, GA 30080-8500
Phone number: 770-383-1415
Copy
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