NPI 1447594569

Harley Anti-Aging Institute LLC

Organisation Ph.D. Medical Genetics Atlanta, GA

Practice location

Address: 2678 Buford Highway NE, Atlanta, GA 30324
Phone: (678) 500-1066
Mailing address: 2678 Buford Hwy NE, Atlanta, GA 30324-3240

Authorised official

Name: Sharon a Harley
Title: Medical Doctor
Phone: (678) 500-1066

Registered specialties

Ph.D. Medical Genetics Primary

Other Service Providers Taxonomy 170100000X Licence 28500 (GA)

Other Medical Genetics, Ph.D. Medical Genetics providers in Georgia →

Registry record

NPI: 1447594569
Entity type: Organization
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 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.