5678dancenow.inc | |
4035 Jonesboro Rd Forest Park GA 30297-1089 | |
(770) 369-6999 | |
Not Available |
Full Name | 5678dancenow.inc |
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Speciality | Case Management |
Location | 4035 Jonesboro Rd, Forest Park, Georgia |
Authorized Official Name and Position | Ayesha Treachea Watson (CEO) |
Authorized Official Contact | 7703696999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5678dancenow.inc 4645 Jackybell Trl Decatur GA 30034-6350 Ph: (770) 369-6999 | 5678dancenow.inc 4035 Jonesboro Rd Forest Park GA 30297-1089 Ph: (770) 369-6999 |
NPI Number | 1699372094 |
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Provider Enumeration Date | 10/08/2020 |
Last Update Date | 10/08/2020 |
Certification Date | 10/08/2020 |
Identifier | Type | State | Issuer |
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1699372094 | NPI | - | NPPES |
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