Forever Young LLC

NPI #1275080921 in Tucker, Georgia

Provider Information

NPI Number
1275080921
Entity Type
Organization
Organization Name
Forever Young LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PAIN AND WELLNESS CENTERS OF GA
Primary Specialty
Specialist
Enumeration Date
Sep 9, 2016
Last Updated
Sep 9, 2016

Practice Location

Address
4905 LAVISTA RD STE E
City
Tucker
State
Georgia
ZIP Code
30084-4409
Phone
(678) 606-9833

Authorized Official

Name
MR. ABRAHAM COHEN
Title
OWNER
Phone
(770) 680-5740

Specialties & Taxonomy Codes

Specialty
Specialist

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