| NPI | 1508631094 |
|---|---|
| Doing Business As | AGELESS AESTHETICS OF CENTRAL GA, LLC |
| Entity Type | Organization |
| Authorized Contact | ANAYO UMERAH CEO 470-716-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |