Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Forever Young LLC

Organization Specialist · NPI 1275080921

Forever Young LLC provides Specialist services in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4905 Lavista Rd Ste E
Tucker, GA 30084-4409 Not confirmed with CMS for 10 years — call before visiting
Phone: (678) 606-9833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 00228865 (GA)

Record details

NPI number1275080921
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPain and Wellness Centers of Ga
Authorized official Abraham Cohen — Owner · (770) 680-5740
NPI enumeratedSeptember 9, 2016
Last updated in NPPESSeptember 9, 2016
Mailing address4905 Lavista Rd Ste E, Tucker, GA 30084-4409

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