Organization
ELITE HYDRATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM SMART CSA (OFFICER)
(404) 935-2189
Entity
Organization
Contact information
Practice address
4200 NORTHSIDE PKWY NW BLDG 8, SUITE 300, ATLANTA, GA 30327-3007
(404) 935-2189
Mailing address
245 N HIGHLAND AVE NE, STE 230-451, ATLANTA, GA 30307-1936
(404) 935-2189
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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