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1295131225
GRASSROOTS HEALTH, LLC
AUSTELL, GA
NPI
1295131225
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Entity Type
Organization
Authorized Contact
ZACHARY DAVID ATEN
Manager
678-249-3552
Organization Subpart ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2014-11-19
Last Update Date
2015-06-30
Business Address
GRASSROOTS HEALTH, LLC
5000 AUSTELL POWDER SPRINGS RD SUITE 273
AUSTELL, GA 30106-2427
Phone number: 678-398-6548
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Mailing Address
GRASSROOTS HEALTH, LLC
PO BOX 1205
POWDER SPRINGS, GA 30127-7205
Phone number: 678-249-3552
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