Longer Life Services of Ga Corporation
Longer Life Services of Ga Corporation provides Family Medicine Physician services in Woodstock, Georgia. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1025 Rose Creek Dr Ste 620-173Woodstock, GA 30189-6797 Not confirmed with CMS for 18 years — call before visiting
Phone: (404) 438-1293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1760662902 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pablo Sanu — President · (404) 438-1293 |
| NPI enumerated | November 5, 2007 |
| Last updated in NPPES | November 5, 2007 |
| Mailing address | 1025 Rose Creek Dr, Suite 620-173, Woodstock, GA 30189-6797 |
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