LIFEQUEST EAST MARIETTA LLC
Ambulatory Health at Davidson Rd, Marietta, GA

License number
Georgia 33753
Category
Ambulatory Health
Type
Health Service
Owner
Name: JAMES BROUSSARD
Title: VICE PRESIDENT
Phone: (678) 973-0635
Address
Address 2
4930 Davidson Rd NE 100, Marietta, GA 30068
3362 Acworth Summit Blvd NW, Acworth, GA 30101
National Provider ID: 1023424181
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LIFEQUEST EAST MARIETTA LLC at bizstanding.com

LIFEQUEST EAST MARIETTA LLC

4930 Davidson Rd, Marietta, GA

Registration:
Nov 9, 2011
State ID:
11084191
Business type:
Domestic Limited Liability Company
Agent:
Mark Montgomery,3362 Acworth Smt Blvd NW, Acworth, GA 30101 (Physical)

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