# LIGHTYEAR HEALTH CLINIC GEORGIA, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164292660
- **Authorized official:** VAIBHAV RIKHYE (VICE PRESIDENT OPERATIONS)
- **Authorized official phone:** (888) 380-0988

## Contact information

- **Practice address:** 260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
- **Practice address phone:** (888) 380-0988
- **Mailing address:** 2950 BUSKIRK AVE STE 300, WALNUT CREEK, CA 94597-6900
- **Mailing address phone:** (888) 380-0988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2024
- **Last updated:** 02/12/2024