Harley Anti-aging Institute Llc

NPI 1447594569 - Medical Genetics, Ph.D. Medical Genetics - 170100000X

NPI Details
NPI 1447594569
Enumeration Date 11/15/2012
Last Updated 11/15/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SHARON A SHARON
Position MEDICAL DOCTOR
Phone (678) 500-1066
Fax
Practice Location
2678 BUFORD HIGHWAY NE
ATLANTA GA, 30324, US
Phone (678) 500-1066
Fax
Business Location
2678 BUFORD HWY NE
ATLANTA GA, 30324-3240, US
Phone (678) 500-1066
Fax
Toxanomy
Taxonomy Code 170100000X
License State Georgia
License Number 28500
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According to our database, Harley Anti-aging Institute Llc NPI is 1447594569, taxonomy code is 170100000X and license number is 28500, license state is located at Georgia. Harley Anti-aging Institute Llc physically located at 2678 Buford Highway Ne, Atlanta GA, 30324. NPI Number 1033115704 has the healthcare provider type.

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1447594569 NPI number is provided on an as is basis without warranty of any kind. 1447594569 is maintained by the National Plan & Provider Enumeration System. The contents of Harley Anti-aging Institute Llc are for informational purposes only.