Organization
HARLEY ANTI-AGING INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON A HARLEY (MEDICAL DOCTOR)
(678) 500-1066
Entity
Organization
Contact information
Practice address
2678 BUFORD HIGHWAY NE, ATLANTA, GA 30324
(678) 500-1066
Mailing address
2678 BUFORD HWY NE, ATLANTA, GA 30324-3240
(678) 500-1066
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
28500
GA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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