Organization
VITALITY WELLNESS & PAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK C GUERDAN D.O. (MANAGER/OWNER)
(404) 567-6608
Entity
Organization
Contact information
Practice address
5885 GLENRIDGE DR, STE 200, ATLANTA, GA 30328-5512
(404) 567-6608
Mailing address
860 JOHNSON FERRY RD STE 140-107, ATLANTA, GA 30342-1435
(404) 567-6608
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
GA
Other
Enumeration date
10/06/2015
Last updated
01/29/2016
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