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

FOUNTAIN OF YOUTH MD LLC

Active Organization

FOUNTAIN OF YOUTH MD LLC is a General Practice organization located in ATLANTA, Georgia. NPI 1649527284 is currently active in the NPPES registry. Verify at CMS.

General Practice · ATLANTA, GA

Registration Details

NPI Number
1649527284
Provider Type
Organization
NPI Issued
Aug 14, 2012 (14.008751396503 yrs)
Last Updated
May 22, 2014

Practice Information

Address
200 GALLERIA PKWY SE
SUITE 100
ATLANTA, GA, 303395918
Browse GA providers · Browse ZIP 30339
Phone
7706955500
Fax
8008143301
Primary Specialty
General Practice
208D00000X

Other General Practice Organizations in ATLANTA, 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.