Bold Legacy Practice, LLC
Bold Legacy Practice, LLC is a Clinic/Center in Marietta, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1401 Johnson Ferry Rd Ste 390Marietta, GA 30062-9100
Phone: (470) 795-0047
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
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1962116392 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leia Dawson — Medical Director · (470) 795-0047 |
| NPI enumerated | January 10, 2023 |
| Last updated in NPPES | December 28, 2023 |
| Certification date | December 28, 2023 |
| Mailing address | 1117 Eagles Creek Way Nw, Acworth, GA 30101-4696 |
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