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1790155513
VITALITY WELLNESS & PAIN LLC
ATLANTA, GA
NPI
1790155513
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Entity Type
Organization
Authorized Contact
MARK C GUERDAN
Manager/Owner
404-567-6608
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2015-10-06
Last Update Date
2016-01-29
Business Address
VITALITY WELLNESS & PAIN LLC
5885 GLENRIDGE DR STE 200
ATLANTA, GA 30328-5512
Phone number: 404-567-6608
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Mailing Address
VITALITY WELLNESS & PAIN LLC
860 JOHNSON FERRY RD STE 140-107
ATLANTA, GA 30342-1435
Phone number: 404-567-6608
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