NPI 1326307513

Preventive Medicine & Anti-Aging Institute LLC

Organisation Point of Service Sandy Springs, GA

Practice location

Address: 171 Mount Paran Rd., Sandy Springs, GA 30342-2211
Phone: (770) 451-4857
Fax: (678) 705-5767

Authorised official

Name: Robert a Burkich
Title: Owner
Phone: (770) 451-4857

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence MD046372 (GA)

Other Point of Service providers in Georgia →

Registry record

NPI: 1326307513
Entity type: Organization
NPI issued: 9 May 2012
Record last updated: 17 May 2012

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.