Lifeplan Nutrition | |
2006 Macy Dr Roswell GA 30076-6346 | |
(404) 257-0000 | |
(404) 257-1122 |
Full Name | Lifeplan Nutrition |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 2006 Macy Dr, Roswell, Georgia |
Authorized Official Name and Position | William Lyday (OWNER) |
Authorized Official Contact | 4042570000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifeplan Nutrition 2006 Macy Dr Roswell GA 30076-6346 Ph: (404) 257-0000 | Lifeplan Nutrition 2006 Macy Dr Roswell GA 30076-6346 Ph: (404) 257-0000 |
NPI Number | 1174343354 |
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Provider Enumeration Date | 10/14/2024 |
Last Update Date | 10/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174343354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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