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Georgia Ketamine Renew
Medical Specialty Clinic/Center in Gainesville, Georgia
NPI 1255951182

Georgia Ketamine Renew is a Medical Specialty Clinic/Center based in Gainesville, GA and is specialized in Medical Specialty. Georgia Ketamine Renew practices in Gainesville, GA. The NPI Number for Georgia Ketamine Renew is 1255951182 and holds a License No. (Georgia).

The current practice location address for Georgia Ketamine Renew is 1370 Thompson Bridge Rd Ste 101, Gainesville, GA and can be reached out via phone at 678-769-7008. You can also correspond with Georgia Ketamine Renew through the mailing address at 1370 THOMPSON BRIDGE RD STE 101, GAINESVILLE, GA - 30501-1780 (mailing address contact number: 678-769-7008).

Location: 1370 Thompson Bridge Rd Ste 101, Gainesville, GA, 30501-1780
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255951182
Provider Name
Georgia Ketamine Renew
Credential
Provider Entity Type
Organization
Address
1370 Thompson Bridge Rd Ste 101, Gainesville, GA, 30501-1780
Phone Number
678-769-7008
Fax Number
Provider Enumeration Date
04/21/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34210 01 GA LICENSE
institution
Provider Business Practice Location Address Details
Address
1370 Thompson Bridge Rd Ste 101
City
Gainesville
State
Georgia
Zip
30501-1780
Phone Number
678-769-7008
Fax Number
person
Provider Business Mailing Address Details
Address
1370 Thompson Bridge Rd Ste 101
City
Gainesville
State
Georgia
Zip
30501-1780
Phone Number
678-769-7008
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Acupuncturist
Speciality
-
Taxonomy
171100000X
License No.
()
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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