Provider Type Icon

FOREVER YOUNG LLC NPI 1275080921


NPI Information

NPI: 1275080921
Provider Name: FOREVER YOUNG LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4905 LAVISTA RD STE E
TUCKER, GA
ZIP 30084
Phone: (678) 606-9833
Get Directions

FOREVER YOUNG LLC is a specialist in Tucker, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FOREVER YOUNG LLC NPI is 1275080921. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4905 LAVISTA RD STE E
TUCKER, GA
ZIP 30084-409
Phone: (678) 606-9833

The provider's authorized official is Abraham Cohen .
The authorized official title is Owner and has the following contact phone number (770) 680-5740.

The enumeration date for this NPI number is 9/9/2016 and was last updated on 9/9/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist00228865GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.