Organization
PREVENTIVE MEDICINE ANTI-AGING AND CHELATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A BURKICH M.D. (DIRECTOR)
(706) 891-1200
Entity
Organization
Contact information
Practice address
171 MOUNT PARAN RD NE, SANDY SPRINGS, GA 30342-2211
(706) 891-1200
(706) 891-1202
Mailing address
148 COBB PKWY, RINGGOLD, GA 30736-8566
(706) 891-1200
(706) 891-1202
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
046372
GA
Other
Enumeration date
06/03/2006
Last updated
11/15/2013
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