Organization
AGING SUCCESSFULLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES F. LAWRENCE PH.D APRN BC (PRESIDENT/FOUNDER)
(404) 202-5847
Entity
Organization
Contact information
Practice address
1035 FIELDING PARK CT NE, ATLANTA, GA 30319-1989
(404) 202-5847
Mailing address
1035 FIELDING PARK CT NE, ATLANTA, GA 30319-1989
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
RN134018
GA
286500000X
Military Hospital
Primary
RN134018
GA
Other
Enumeration date
11/23/2010
Last updated
01/21/2013
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