Fountain of Youth MD LLC
Fountain of Youth MD LLC is a General Practice Physician in Atlanta, Georgia. Registered with an NPI since 2012.
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
200 Galleria Pkwy SE Ste 100Atlanta, GA 30339-5918
Phone: (770) 695-5500
Fax: (800) 814-3301
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1649527284 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Offer Danan — Owner · (770) 695-5500 |
| NPI enumerated | August 14, 2012 |
| Last updated in NPPES | May 22, 2014 |
| Mailing address | 200 Galleria Pkwy Se, Suite 100, Atlanta, GA 30339-5918 |
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