Organization
NEW AGE FAMILIY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK KELSEY (CEO)
(678) 732-6873
Entity
Organization
Contact information
Practice address
1965 N PARK PL SE, ATLANTA, GA 30339-2001
(678) 732-6873
(678) 302-4483
Mailing address
1965 N PARK PL SE, ATLANTA, GA 30339-2001
(678) 732-6873
(678) 302-4483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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