Med Therapeutic Skin Care Day Spa
Med Therapeutic Skin Care Day Spa provides Adult Mental Health Clinic/Center services in Norcross, Georgia. Licensed in Georgia. Registered with an NPI since 2013.
- Licensed in
- GA
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
5344 Jimmy Carter Blvd 1 CNorcross, GA 30093-1516 Not confirmed with CMS for 13 years — call before visiting
Phone: (770) 849-0206
Fax: (770) 849-0206
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 2013005065 (GA) |
|---|---|
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X · Licence 2013005065 (GA) |
Record details
| NPI number | 1568808731 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lidia Mosquera — Owner · (770) 849-0206 |
| NPI enumerated | May 15, 2013 |
| Last updated in NPPES | May 15, 2013 |
| Mailing address | 5344 Jimmy Carter Blvd, 1 C, Norcross, GA 30093-1516 |
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