Organization
PREVENTIVE MEDICINE ANTI-AGING AND CHELATION THERAPY INC.
Active
Organization
PREVENTIVE MEDICINE ANTI-AGING AND CHELATION THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BURKICH (DIRECTOR)
(706) 891-1200
Entity
Organization
Contact information
Practice address
171 MOUNT PARAN RD NE, SANDY SPRINGS, GA 30342-2211
(706) 891-1200
Mailing address
148 COBB PKWY, RINGGOLD, GA 30736-8566
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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