IMMUNE RECOVERY FOUNDATION LLC

ATLANTA, GA
NPI1831128578
Entity TypeOrganization
Authorized ContactS. EDWARD BRADFORD
Owner
770-455-6100
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2006-07-03
Last Update Date2020-08-22
Business Address
IMMUNE RECOVERY FOUNDATION LLC
4646 N SHALLOWFORD RD SUITE 200
ATLANTA, GA 30338-6304
Phone number: 770-455-6100
Mailing Address
IMMUNE RECOVERY FOUNDATION LLC
4646 N SHALLOWFORD RD SUITE 200
ATLANTA, GA 30338-6304
Phone number: 770-455-6100