Ultimate Health & Rejuvenation

NPI 1649677980 - Family Medicine - 207Q00000X

NPI Details
NPI 1649677980
Enumeration Date 12/02/2014
Last Updated 06/24/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ERIC WILLIAM ERIC
Position OWNER
Phone (912) 275-7346
Fax (912) 275-8374
Practice Location
1201 FOUNTAIN PARK CIR
BRUNSWICK GA, 31520-4859, US
Phone (912) 275-7346
Fax (912) 275-8374
Business Location
1201 FOUNTAIN PARK CIR
BRUNSWICK GA, 31520-4859, US
Phone (912) 275-7346
Fax (912) 275-8374
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 16344
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According to our database, Ultimate Health & Rejuvenation NPI is 1649677980, taxonomy code is 207Q00000X and license number is 16344, license state is located at Georgia. Ultimate Health & Rejuvenation physically located at 1201 Fountain Park Cir, Brunswick GA, 31520-4859. NPI Number 1033115704 has the healthcare provider type.

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1649677980 NPI number is provided on an as is basis without warranty of any kind. 1649677980 is maintained by the National Plan & Provider Enumeration System. The contents of Ultimate Health & Rejuvenation are for informational purposes only.