| Longer Life Services Of Ga Corporation | |
|
1025 Rose Creek Dr Suite 620-173 Woodstock GA 30189-6797 | |
| (404) 438-1293 | |
| Not Available |
| Full Name | Longer Life Services Of Ga Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1025 Rose Creek Dr, Woodstock, Georgia |
| Authorized Official Name and Position | Pablo Sanu (PRESIDENT) |
| Authorized Official Contact | 4044381293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longer Life Services Of Ga Corporation 1025 Rose Creek Dr Suite 620-173 Woodstock GA 30189-6797 Ph: (404) 438-1293 | Longer Life Services Of Ga Corporation 1025 Rose Creek Dr Suite 620-173 Woodstock GA 30189-6797 Ph: (404) 438-1293 |
| NPI Number | 1760662902 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 11/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760662902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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