| NPI | 1285152587 |
|---|---|
| Doing Business As | GEORGIA CENTER MEDSPA |
| Entity Type | Organization |
| Authorized Contact | KEARSLEY LANGFORD JOHNSON Accountant 229-496-9529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2022-07-21 |