Organization · NPI-2

Altergyn, LLC

General Practice · Marietta, GA

NPI number1851861660
StatusActive
Last updated in NPPESDec 1, 2021

Details

NPI
1851861660
Entity type
Organization (NPI-2)
Legal business name
Altergyn, LLC
Organization subpart
No
Enumeration date
Dec 5, 2018
Certification date
Dec 1, 2021
Last updated
Dec 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice––Yes

Other names

  • Acupuncture And Injury (Doing Business As)

Practice location

1521 Johnson Ferry Rd Ste 135
Marietta, GA 30062-6408

Phone 678-247-2115 · Fax 404-393-8059

Mailing address

1521 Johnson Ferry Rd Ste 135
Marietta, GA 30062-6408

Phone 678-247-2115 · Fax 404-393-8059

Authorized official

James Rochester Granger
M.D./Owner
6782472115

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