| Ener Drip Iv Infusion & Med Spa | |
|
3993 Lawrenceville Hwy Nw Ste 115 Lilburn GA 30047-2831 | |
| (229) 319-8267 | |
| Not Available |
| Full Name | Ener Drip Iv Infusion & Med Spa |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 3993 Lawrenceville Hwy Nw Ste 115, Lilburn, Georgia |
| Authorized Official Name and Position | Earlyce Robinson (OWNER) |
| Authorized Official Contact | 2293198267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ener Drip Iv Infusion & Med Spa 399 Wayward Wind Dr Sw Lilburn GA 30047-6433 Ph: () - | Ener Drip Iv Infusion & Med Spa 3993 Lawrenceville Hwy Nw Ste 115 Lilburn GA 30047-2831 Ph: (229) 319-8267 |
| NPI Number | 1295317154 |
|---|---|
| Provider Enumeration Date | 04/21/2021 |
| Last Update Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295317154 | NPI | - | NPPES |
| 1306853577 | Other | GA | MEDICAL DIRECTOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
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