Organization · Type 2 NPI

Preventive Medicine Anti-Aging and Chelation Therapy Inc.

Point of Service · Sandy Springs, GA

NPI number 1114459096 Active

Practice location

171 Mount Paran Rd NE
Sandy Springs, GA 30342-2211

Mailing address

148 Cobb Pkwy
Ringgold, GA 30736-8566

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1114459096

Preventive Medicine Anti-Aging and Chelation Therapy Inc.'s National Provider Identifier is 1114459096, issued on Mar 30, 2017. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Sandy Springs, GA. The record was last updated on Mar 30, 2017.