| NPI | 1881978898 |
|---|---|
| Former Legal Business Name | AGELESS HEALTH MD, LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. SHEFFRIN President 770-977-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 055194) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2013-06-13 |