| Angel Eyes Management Llc | |
|
58 S Park Sq Ne Ste O Marietta GA 30060-8608 | |
| (678) 809-1117 | |
| Not Available |
| Full Name | Angel Eyes Management Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 58 S Park Sq Ne, Marietta, Georgia |
| Authorized Official Name and Position | Ebony Star Baker-white (OWNER) |
| Authorized Official Contact | 6788091117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Eyes Management Llc 12 Powder Springs St Ste 270 Marietta GA 30064-7205 Ph: (678) 809-1117 | Angel Eyes Management Llc 58 S Park Sq Ne Ste O Marietta GA 30060-8608 Ph: (678) 809-1117 |
| NPI Number | 1932540531 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 01/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932540531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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