Organization
DESTINED REVISIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOY JUNESE GRIER B.S (OWNER)
(678) 468-4880
Entity
Organization
Contact information
Practice address
947 BRYANT HILL RD, MARSHALLVILLE, GA 31057-3113
(678) 468-4880
Mailing address
2550 E WESLEY CHAPEL WAY, STE 5, DECATUR, GA 30035-3430
(678) 468-4880
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Enumeration date
02/24/2010
Last updated
03/16/2017
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