| Grassroots Health, Llc | |
|
5000 Austell Powder Springs Rd Suite 273 Austell GA 30106-2427 | |
| (678) 398-6548 | |
| (678) 398-6550 |
| Full Name | Grassroots Health, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5000 Austell Powder Springs Rd, Austell, Georgia |
| Authorized Official Name and Position | Zachary David Aten (MANAGER) |
| Authorized Official Contact | 6782493552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grassroots Health, Llc Po Box 1205 Powder Springs GA 30127-7205 Ph: (678) 249-3552 | Grassroots Health, Llc 5000 Austell Powder Springs Rd Suite 273 Austell GA 30106-2427 Ph: (678) 398-6548 |
| NPI Number | 1295131225 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295131225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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