| Lifehope Trif3cta Sports Medicine, Llc | |
|
11680 Great Oaks Way Alpharetta GA 30022-2457 | |
| (404) 500-7224 | |
| Not Available |
| Full Name | Lifehope Trif3cta Sports Medicine, Llc |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 11680 Great Oaks Way, Alpharetta, Georgia |
| Authorized Official Name and Position | Jaeson Courseault (OWNER) |
| Authorized Official Contact | 5049827141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifehope Trif3cta Sports Medicine, Llc 11680 Great Oaks Way Alpharetta GA 30022-2457 Ph: (404) 500-7224 | Lifehope Trif3cta Sports Medicine, Llc 11680 Great Oaks Way Alpharetta GA 30022-2457 Ph: (404) 500-7224 |
| NPI Number | 1841960937 |
|---|---|
| Provider Enumeration Date | 09/20/2021 |
| Last Update Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841960937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
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