UNIQUE DESTINY INC

FAIRBURN, GA
NPI1932651072
Entity TypeOrganization
Authorized ContactSANDTRICE RUSSELL
Clinician
404-924-5560
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: GA  APC004555)
Enumeration Date2016-10-25
Last Update Date2016-10-25
Business Address
UNIQUE DESTINY INC
7117 WALTON HL
FAIRBURN, GA 30213-7112
Phone number: 404-924-5560
Mailing Address
UNIQUE DESTINY INC
203 VINE ST
LAGRANGE, GA 30241-3346
Phone number: 404-924-5560
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