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Ax Stockbridge Services INC

Clinic/Center in Stockbridge, GA. Organization (NPI-2).

NPI number1245547751
StatusActive
Last updated in NPPESSep 3, 2010

Details

NPI
1245547751
Entity type
Organization (NPI-2)
Legal business name
Ax Stockbridge Services INC
Organization subpart
No
Enumeration date
Sep 3, 2010
Last updated
Sep 3, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

950 Eagles Landing Pkwy
Suite 324
Stockbridge, GA 30281-7343

Phone 404-731-0039

Mailing address

950 Eagles Landing Pkwy
Suite 324
Stockbridge, GA 30281-7343

Phone 404-731-0039

Authorized official

Jose Gamero
President
4047310039

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