Back to Life Medical Group, LLC
NPI #1346526530 in Canton, Georgia
Provider Information
- NPI Number
- 1346526530
- Entity Type
- Organization
- Organization Name
- Back to Life Medical Group, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BACK TO LIFE MEDICAL GROUP, LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Nov 1, 2011
- Last Updated
- Jun 22, 2015
Practice Location
Authorized Official
- Name
- SATISH CUDDAPAH, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (770) 345-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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