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

Forever Young LLC

Organization Specialist · NPI 1275080921

Forever Young LLC is a Specialist 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
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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