| Georgia Life Services, Inc | |
|
240 Peachtree St Nw Bsmt Bo56193 Atlanta GA 30303-1302 | |
| (770) 744-4065 | |
| Not Available |
| Full Name | Georgia Life Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 240 Peachtree St Nw Bsmt Bo56193, Atlanta, Georgia |
| Authorized Official Name and Position | Ronn Ross (DIRECTOR) |
| Authorized Official Contact | 4046686888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Life Services, Inc Po Box 56193 Atlanta GA 30343-0193 Ph: (770) 744-4065 | Georgia Life Services, Inc 240 Peachtree St Nw Bsmt Bo56193 Atlanta GA 30303-1302 Ph: (770) 744-4065 |
| NPI Number | 1487439709 |
|---|---|
| Provider Enumeration Date | 08/25/2023 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487439709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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