NPI 1114459096

Preventive Medicine Anti-Aging and Chelation Therapy INC.

Organisation Point of Service Sandy Springs, GA

Practice location

Address: 171 Mount Paran Rd NE, Sandy Springs, GA 30342-2211
Phone: (706) 891-1200
Mailing address: 148 Cobb Pkwy, Ringgold, GA 30736-8566

Authorised official

Name: Robert Burkich
Title: Director
Phone: (706) 891-1200

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Georgia →

Registry record

NPI: 1114459096
Entity type: Organization
NPI issued: 30 Mar 2017
Record last updated: 30 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.