DoctorDataHub
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 Family Medicine organization located in CANTON, Georgia. NPI 1396987152 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CANTON, GA

Registration Details

NPI Number
1396987152
Provider Type
Organization
NPI Issued
Mar 25, 2009 (17.390981625143 yrs)
Last Updated
Nov 10, 2014
License
048997 (GA)

Practice Information

Address
557 RIVERSTONE PKWY
SUITE 140
CANTON, GA, 301145223
Browse GA providers · Browse ZIP 30114
Phone
7703452000
Fax
7703454524
Primary Specialty
Family Medicine
207Q00000X
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.