WATERWORKSNOW, INCORPORATED
Ambulatory Health at Park Place Blvd, Stone Mountain, GA

License number
Georgia 48419
Category
Ambulatory Health
Type
Health Service
License number
Georgia 48419
Category
Ambulatory Health
Type
Medical Specialty
License number
Georgia 48419
Category
Ambulatory Health
Type
Physical Therapy
License number
Georgia 48419
Category
Ambulatory Health
Type
Research
Owner
Name: DR. CYNTHIA GOODMAN M.D.
Title: CEO/PRESIDENT
Phone: (678) 558-8676
Address
Address 2
1525 E Park Place Blvd SUITE 1800, Stone Mountain, GA 30087
PO Box 370354, Decatur, GA 30037
National Provider ID: 1972036978
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WATERWORKSNOW, INCORPORATED at bizstanding.com

WATERWORKSNOW, INCORPORATED

PO Box 370354, Decatur, GA 30037

Status:
Inactive
Registration:
Mar 2, 2009
State ID:
09015079
Business type:
Domestic Profit Corporation
Formation place:
GEORGIA
Expiration:
03/18/2013
CEO:
C.j. Goodman (CEO), PO Box 370354, Decatur, GA 30037 (Physical)

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