Organization
HARLEY ANTI-AGING INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON A BENT-HARLEY M.D. (PRESIDENT/CEO)
(678) 500-1066
Entity
Organization
Contact information
Practice address
1800 PEACHTREE ST NW, SUITE 455, ATLANTA, GA 30309-2519
(678) 500-1066
(678) 500-1067
Mailing address
1800 PEACHTREE ST NW, SUITE 455, ATLANTA, GA 30309-2519
(678) 500-1066
(678) 500-1067
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
028500
GA
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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