Organization
PLASTICITY CENTERS OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL POPE (MANAGER OF CENTER SUPPORT)
(407) 955-4248
Entity
Organization
Contact information
Practice address
200 COBB PKWY N STE 128, MARIETTA, GA 30062-3538
(404) 905-6000
Mailing address
991 SOUTHPARK DR STE 200, LITTLETON, CO 80120-5689
(407) 955-4248
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
111NN0400X
Neurology Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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