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1124596069
LONGEVITY MEDICAL CENTER, PC
ATLANTA, GA
NPI
1124596069
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Entity Type
Organization
Authorized Contact
SAIRA SULTAN
Doo
770-676-6000
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
LONGEVITY MEDICAL CENTER, PC
4646 N SHALLOWFORD RD STE 300
ATLANTA, GA 30338-6308
Phone number: 678-736-6383
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Mailing Address
LONGEVITY MEDICAL CENTER, PC
1551 DUNWOODY VILLAGE PKWY UNIT 888426
ATLANTA, GA 30356-0115
Phone number: 678-736-6383
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