FOUNTAIN OF YOUTH MD, LLC

ATLANTA, GA
NPI1558607374
Entity TypeOrganization
Authorized ContactOFFER DANAN
Owner
770-695-5500
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2012-12-26
Last Update Date2012-12-26
Business Address
FOUNTAIN OF YOUTH MD, LLC
200 GALLERIA PKWY SE 100
ATLANTA, GA 30339-5918
Phone number: 404-382-9277
Mailing Address
FOUNTAIN OF YOUTH MD, LLC
200 GALLERIA PKWY SE 100
ATLANTA, GA 30339-5918
Phone number:
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