Organization · Type 2 NPI
Harley Anti-Aging Institute LLC
Ph.D. Medical Genetics · Atlanta, GA
NPI number
1447594569
Active
Practice location
2678 Buford Highway NE
Atlanta, GA 30324
Mailing address
2678 Buford Hwy NE
Atlanta, GA 30324-3240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ph.D. Medical Genetics Primary | 170100000X | 28500 (GA) |
Ph.D. Medical Genetics: A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
About NPI 1447594569
Harley Anti-Aging Institute LLC's National Provider Identifier is 1447594569, issued on Nov 15, 2012. The primary taxonomy on file is Ph.D. Medical Genetics (170100000X), and the practice location is in Atlanta, GA. The record was last updated on Nov 15, 2012.