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Organization
AGELESS CENTER OF REGENERATIVE & WELLNESS MEDICINE
Active
Organization
AGELESS CENTER OF REGENERATIVE & WELLNESS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA FAULKNER N.P. (COO)
(678) 364-8414
Entity
Organization
Contact information
Practice address
1000 COMMERCE DR, SUITE 300, PEACHTREE CITY, GA 30269-3530
(678) 364-8414
(678) 545-0146
Mailing address
1000 COMMERCE DR, SUITE 300, PEACHTREE CITY, GA 30269-3530
(678) 364-8414
(678) 545-0146
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
GA045023
GA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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