Organization
LIFE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM D JARR (EVP-FINANCE)
(770) 426-2623
Entity
Organization
Contact information
Practice address
1415 BARCLAY CIR SE, MARIETTA, GA 30060-2943
(770) 426-2600
Mailing address
1269 BARCLAY CIR SE, MARIETTA, GA 30060-2903
(770) 426-2600
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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