| NPI | 1962709493 |
|---|---|
| Doing Business As | PHYSICIANS CHOICE REJUVENATION CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHNNY MARSEILLE Owner 754-366-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 65098) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |