Back to Life Medical Group, LLC
Back to Life Medical Group, LLC is a Family Medicine Physician in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2009.
- Licensed in
- GA
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
557 Riverstone Pkwy Ste 140Canton, GA 30114-5223
Phone: (770) 345-2000
Fax: (770) 345-4524
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 048997 (GA) |
|---|
Record details
| NPI number | 1396987152 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eric Cavaciuti — Owner · (770) 345-2000 |
| Other names | Spinal Medical Centers |
| NPI enumerated | March 25, 2009 |
| Last updated in NPPES | November 10, 2014 |
| Mailing address | 557 Riverstone Pkwy, Suite 140, Canton, GA 30114-5223 |
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