# NEW AGE FAMILIY INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1386896645
- **Authorized official:** MR. JACK KELSEY (CEO)
- **Authorized official phone:** (678) 732-6873

## Contact information

- **Practice address:** 1965 N PARK PL SE, ATLANTA, GA 30339-2001
- **Practice address phone:** (678) 732-6873
- **Practice address fax:** (678) 302-4483
- **Mailing address:** 1965 N PARK PL SE, ATLANTA, GA 30339-2001
- **Mailing address phone:** (678) 732-6873
- **Mailing address fax:** (678) 302-4483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2008
- **Last updated:** 10/17/2008