Organization
SONOMILLIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN J BOYKINS CVT (OWNER)
(404) 723-7662
Entity
Organization
Contact information
Practice address
1980 RIDGESTONE RUN SW, MARIETTA, GA 30008-4088
(404) 449-8216
Mailing address
2136 SHOOP CT SE, SMYRNA, GA 30080-6996
(404) 723-7662
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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