Organization
MAJESTIC VISIONS ALLIANCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERVIN LYNN WILSON (DIRECTOR)
(404) 748-8255
Entity
Organization
Contact information
Practice address
5150 COCHRAN MILL RD, FAIRBURN, GA 30213-2121
(770) 774-3230
(770) 774-9782
Mailing address
4405 CASCADE PALMETTO HWY, FAIRBURN, GA 30213-1852
(770) 306-2327
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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