Organization
LIGHT GROUP SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE M ARENCIBIA (PRESIDENT)
(678) 576-4924
Entity
Organization
Contact information
Practice address
2625 PIEDMONT RD NE, SUITE 56 #440, ATLANTA, GA 30324-3086
(678) 576-4924
(678) 666-1038
Mailing address
2625 PIEDMONT RD NE, SUITE 56 #440, ATLANTA, GA 30324-3086
(678) 576-4924
(678) 666-1038
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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