| Evenly South, Llc | |
|
2134 Lucerne Ln Se Ste 210 Smyrna GA 30080-6554 | |
| (404) 556-8407 | |
| Not Available |
| Full Name | Evenly South, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2134 Lucerne Ln Se Ste 210, Smyrna, Georgia |
| Authorized Official Name and Position | Dameon Fisher (OPERATOR) |
| Authorized Official Contact | 4045568407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evenly South, Llc 7250 Woodmont Ave Ste 330 Bethesda MD 20814-3057 Ph: (800) 500-0493 | Evenly South, Llc 2134 Lucerne Ln Se Ste 210 Smyrna GA 30080-6554 Ph: (404) 556-8407 |
| NPI Number | 1669168878 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669168878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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