Organization
TOTAL LIFE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVAN QUAMINA PHD (CHIEF EXECUTIVE OFFICER)
(510) 435-7688
Entity
Organization
Contact information
Practice address
315 14TH ST NW, ATLANTA, GA 30318-5305
(404) 691-8880
(404) 691-8811
Mailing address
315 14TH ST NW, ATLANTA, GA 30318-5305
(404) 691-8880
(404) 691-8811
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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