| Reinvent Your Identity,llc | |
|
4403 Kady Ct Mcdonough GA 30252-3700 | |
| (404) 644-4198 | |
| Not Available |
| Full Name | Reinvent Your Identity,llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4403 Kady Ct, Mcdonough, Georgia |
| Authorized Official Name and Position | Abidemi Marsh (OWNER) |
| Authorized Official Contact | 4046444198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reinvent Your Identity,llc 4403 Kady Ct Mcdonough GA 30252-3700 | Reinvent Your Identity,llc 4403 Kady Ct Mcdonough GA 30252-3700 Ph: (404) 644-4198 |
| NPI Number | 1235871013 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 04/11/2022 |
| Certification Date | 04/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235871013 | NPI | - | NPPES |
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