Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BOLD LEGACY PRACTICE, LLC
Active OrganizationBOLD LEGACY PRACTICE, LLC is a Clinic/Center organization located in MARIETTA, Georgia. NPI 1962116392 is currently active in the NPPES registry. Verify at CMS.
Clinic/Center · MARIETTA, GA
Registration Details
- NPI Number
- 1962116392
- Provider Type
- Organization
- NPI Issued
- Jan 10, 2023 (3.6312851327188 yrs)
- Last Updated
- Dec 28, 2023
Practice Information
- Address
-
1401 JOHNSON FERRY RD STE 390MARIETTA, GA, 300629100Browse GA providers · Browse ZIP 30062
- Phone
- 4707950047
- Primary Specialty
-
Clinic/Center
261Q00000X
Other Clinic/Center Organizations in MARIETTA, GA
| Name | NPI |
|---|---|
| HYOX MEDICAL TREATMENT CENTER, INC | 1770552739 |
| CHILDREN'S HEALTHCARE OF ATLANTA MARIETTA PRIMARY CARE | 1235161464 |
| BUILDING BLOCKS PEDIATRIC THERAPY | 1407921489 |
| REDICLINIC LLC | 1639247158 |
| REDICLINIC LLC | 1124196670 |
| PLASTIC SURGERY CENTER OF THE SOUTH | 1295885465 |
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.