Organization
THE SOLE CIRCLE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DOUGLAS BENNETT JR. (OWNER)
(706) 289-8527
Entity
Organization
Contact information
Practice address
106 E PONCE DE LEON AVE, DECATUR, GA 30030-2526
(706) 289-8527
Mailing address
9095 CAMPESTRAL CT, DULUTH, GA 30097-6615
(706) 289-8527
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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