Organization
VALIANT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
(912) 373-4385
Entity
Organization
Contact information
Practice address
4255 CEDAR BLUFF WAY SW, LILBURN, GA 30047-3185
(470) 981-6333
Mailing address
4255 CEDAR BLUFF WAY SW, LILBURN, GA 30047-3185
(470) 981-6333
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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