PREVENTIVE MEDICINE & ANTI-AGING INSTITUTE LLC

SANDY SPRINGS, GA
NPI1326307513
Entity TypeOrganization
Authorized ContactROBERT A BURKICH
Owner
770-451-4857
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
(Licence: GA  MD046372)
Enumeration Date2012-05-09
Last Update Date2012-05-17
Business Address
PREVENTIVE MEDICINE & ANTI-AGING INSTITUTE LLC
171 MOUNT PARAN RD.
SANDY SPRINGS, GA 30342-2211
Phone number: 770-451-4857
Mailing Address
PREVENTIVE MEDICINE & ANTI-AGING INSTITUTE LLC
171 MOUNT PARAN RD.
SANDY SPRINGS, GA 30342-2211
Phone number: 770-451-4857