Organization
MYLIFE OF NORTH GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WARREN ROBERSON (PRESIDENT)
(770) 607-1745
Entity
Organization
Contact information
Practice address
40 SLOPES DRIVE, CARTERSVILLE, GA 30120
(770) 607-1745
Mailing address
40 SLOPES DRIVE, CARTERSVILLE, GA 30120
(770) 607-1745
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
HADE034896
GA
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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