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Organization
BACK TO LIFE MEDICAL GROUP, LLC
Active
Organization
BACK TO LIFE MEDICAL GROUP, LLC
Active
Other names
Spinal Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC A CAVACIUTI (OWNER)
(770) 345-2000
Entity
Organization
Contact information
Practice address
557 RIVERSTONE PKWY, SUITE 140, CANTON, GA 30114-5223
(770) 345-2000
(770) 345-4524
Mailing address
557 RIVERSTONE PKWY, SUITE 140, CANTON, GA 30114-5223
(770) 345-2000
(770) 345-4524
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048997
GA
Other
Enumeration date
03/25/2009
Last updated
11/10/2014
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