BACK TO LIFE MEDICAL GROUP, LLC

CANTON, GA
NPI1346526530
Doing Business AsGEORGIA PAIN TREATMENT CENTERS
Entity TypeOrganization
Authorized ContactSATISH CUDDAPAH
Medical Director
770-345-2000
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2011-11-01
Last Update Date2015-06-22
Business Address
BACK TO LIFE MEDICAL GROUP, LLC
557 RIVERSTONE PKWY SUITE 140
CANTON, GA 30114-5223
Phone number: 770-345-2000
Mailing Address
BACK TO LIFE MEDICAL GROUP, LLC
557 RIVERSTONE PKWY SUITE 140
CANTON, GA 30114-5223
Phone number: 770-345-2000