Organization
BLUE CRYO FRANCHISING INCE
Active
Other names
Icebox Cryotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
ALIA ALSTON (CEO)
(404) 375-3816
Entity
Organization
Contact information
Practice address
3872 ROSWELL RD NE STE A2, ATLANTA, GA 30342-4400
(404) 890-7066
Mailing address
1 CONCOURSE PKWY STE 800, ATLANTA, GA 30328-6188
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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