BACK TO LIFE MEDICAL GROUP, LLC

CANTON, GA
NPI1396987152
Entity TypeOrganization
Authorized ContactERIC A CAVACIUTI
Owner
770-345-2000
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  048997)
Enumeration Date2009-03-25
Last Update Date2014-11-10
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
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