Long Haul Clinic, Llc

NPI 1275724486 - Clinic/Center - 261QU0200X

NPI Details
NPI 1275724486
Enumeration Date 08/05/2007
Last Updated 08/05/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEN KEN
Position COO
Phone (678) 749-7803
Fax
Practice Location
10945 STATE BRIDGE RD
SUITE 401, ROOM 358
ALPHARETTA GA, 30022-8164, US
Phone (678) 749-7803
Fax
Business Location
10945 STATE BRIDGE RD
SUITE 401, ROOM 358
ALPHARETTA GA, 30022-8164, US
Phone (678) 749-7803
Fax
Toxanomy
Taxonomy Code 261QU0200X
License State
License Number
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According to our database, Long Haul Clinic, Llc NPI is 1275724486, taxonomy code is 261QU0200X Long Haul Clinic, Llc physically located at 10945 State Bridge Rd, Alpharetta GA, 30022-8164. NPI Number 1033115704 has the healthcare provider type.

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1275724486 NPI number is provided on an as is basis without warranty of any kind. 1275724486 is maintained by the National Plan & Provider Enumeration System. The contents of Long Haul Clinic, Llc are for informational purposes only.