| Aging Successfully, Llc | |
|
1035 Fielding Park Ct Ne Atlanta GA 30319-1989 | |
| (404) 202-5847 | |
| Not Available |
| Full Name | Aging Successfully, Llc |
|---|---|
| Speciality | Military Hospital |
| Location | 1035 Fielding Park Ct Ne, Atlanta, Georgia |
| Authorized Official Name and Position | James F. Lawrence (PRESIDENT/FOUNDER) |
| Authorized Official Contact | 4042025847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aging Successfully, Llc 1035 Fielding Park Ct Ne Atlanta GA 30319-1989 Ph: () - | Aging Successfully, Llc 1035 Fielding Park Ct Ne Atlanta GA 30319-1989 Ph: (404) 202-5847 |
| NPI Number | 1326340480 |
|---|---|
| Provider Enumeration Date | 11/23/2010 |
| Last Update Date | 01/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326340480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | RN134018 (Georgia) | Secondary |
| 286500000X | Military Hospital | RN134018 (Georgia) | Primary |
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