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Organization

LIFEPLAN NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM LYDAY MD (OWNER)
(404) 257-0000
Entity
Organization

Contact information

Practice address
2006 MACY DR, ROSWELL, GA 30076-6346
(404) 257-0000
(404) 257-1122
Mailing address
2006 MACY DR, ROSWELL, GA 30076-6346
(404) 257-0000
(404) 257-1122

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
10/14/2024
Last updated
10/14/2024
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