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 |