Organization
SLENDER SPA MED ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA GRIZZLE (OWNER)
(678) 682-8600
Entity
Organization
Contact information
Practice address
1475 HOLCOMB BRIDGE RD, SUITE 165, ROSWELL, GA 30076-2139
(678) 682-8600
Mailing address
1475 HOLCOMB BRIDGE RD, SUITE 165, ROSWELL, GA 30076-2139
(678) 682-8600
(678) 682-8601
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
01/15/2013
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