Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagle's Landing Longevity Center

Organization Internal Medicine Physician · NPI 1134524788

Eagle's Landing Longevity Center is an Internal Medicine Physician in Stockbridge, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014

Practice location Address checks out

1325 Rock Quarry Rd Ste 200
Stockbridge, GA 30281-5088
Phone: (770) 389-0734
Fax: (770) 389-5364
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 39958 (GA)

Record details

NPI number1134524788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gayla Sylvain — Owner · (770) 389-0734
NPI enumeratedOctober 24, 2014
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020
Mailing address1325 Rock Quarry Rd, Suite 200, Stockbridge, GA 30281-5088

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