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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BACK TO LIFE MEDICAL GROUP, LLC

Active Organization

BACK TO LIFE MEDICAL GROUP, LLC is a Non-Pharmacy Dispensing Site organization located in CANTON, Georgia. NPI 1346526530 is currently active in the NPPES registry. Verify at CMS.

Non-Pharmacy Dispensing Site · CANTON, GA

Registration Details

NPI Number
1346526530
Provider Type
Organization
NPI Issued
Nov 1, 2011 (14.808187105556 yrs)
Last Updated
Jun 22, 2015

Practice Information

Address
557 RIVERSTONE PKWY
SUITE 140
CANTON, GA, 301145223
Browse GA providers · Browse ZIP 30114
Phone
7703452000
Fax
7703454524
Primary Specialty
Non-Pharmacy Dispensing Site
332900000X

Other Non-Pharmacy Dispensing Site Organizations in CANTON, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.