Organization · Type 2 NPI

Fountain of Youth MD LLC

General Practice Physician · Atlanta, GA

NPI number 1649527284 Active

Practice location

200 Galleria Pkwy SE, Suite 100
Atlanta, GA 30339-5918

Call (770) 695-5500 Map

Fax (800) 814-3301

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

10 other providers at this address

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About NPI 1649527284

Fountain of Youth MD LLC's National Provider Identifier is 1649527284, issued on Aug 14, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Atlanta, GA. The record was last updated on May 22, 2014.