Lifequest East Marietta LLC
Lifequest East Marietta LLC is a Health Service Clinic/Center in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2014.
- Licensed in
- GA
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4930 Davidson Rd NE 100Marietta, GA 30068-4661
Phone: (678) 973-0635
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
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X · Licence 33753 (GA) |
|---|
Record details
| NPI number | 1023424181 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Broussard — Vice President · (678) 973-0635 |
| Other names | Energy Medical Group |
| NPI enumerated | July 9, 2014 |
| Last updated in NPPES | July 9, 2014 |
| Mailing address | 3362 Acworth Summit Blvd Nw, Acworth, GA 30101-5770 |
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