Immune Recovery Foundation LLC
Immune Recovery Foundation LLC is an Exclusive Provider Organization in Atlanta, Georgia. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4646 N Shallowford Rd Ste 200Atlanta, GA 30338-6304
Phone: (770) 455-6100
Fax: (727) 455-1999
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
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X |
|---|
Record details
| NPI number | 1831128578 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | S. Edward Bradford — Owner · (770) 455-6100 |
| NPI enumerated | July 3, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4646 N Shallowford Rd, Suite 200, Atlanta, GA 30338-6304 |
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