Radiance Light Systems, Llc

NPI 1144659830 - Clinic/Center - 261QH0100X

NPI Details
NPI 1144659830
Enumeration Date 11/04/2013
Last Updated 11/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JON MICHAEL JON
Position OWNER
Phone (770) 565-8266
Fax
Practice Location
2145 ROSWELL RD
MARIETTA GA, 30062-0821, US
Phone (770) 565-8266
Fax
Business Location
2145 ROSWELL RD
MARIETTA GA, 30062, US
Phone (770) 565-8266
Fax
Toxanomy
Taxonomy Code 261QH0100X
License State Georgia
License Number 140922
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According to our database, Radiance Light Systems, Llc NPI is 1144659830, taxonomy code is 261QH0100X and license number is 140922, license state is located at Georgia. Radiance Light Systems, Llc physically located at 2145 Roswell Rd, Marietta GA, 30062-0821. NPI Number 1033115704 has the healthcare provider type.

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1144659830 NPI number is provided on an as is basis without warranty of any kind. 1144659830 is maintained by the National Plan & Provider Enumeration System. The contents of Radiance Light Systems, Llc are for informational purposes only.