HARLEY ANTI-AGING INSTITUTE LLC (NPI# 1447594569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447594569 |
| Entity Type | Organization |
| Organization Name | HARLEY ANTI-AGING INSTITUTE LLC |
| Practice Address |
2678 Buford Highway Ne Atlanta GA 30324 |
| Mailing Address |
2678 Buford Hwy Ne Atlanta GA 30324-3240 |
| Practice Telephone | 6785001066 |
| Mailing Telephone | 6785001066 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | DR. SHARON A HARLEY (MEDICAL DOCTOR) |
| Authorized Official Telephone | 6785001066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 28500 | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669614343 | Harley Anti-aging Institute LLC | Durable Medical Equipment & Medical Supplies | 1800 Peachtree St Nw, Suite 455, Atlanta, GA 30309-2519 | 2009-03-27 |
| Street Address |
2678 BUFORD HIGHWAY NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158919 | Marianella Anzola | Dietitian, Registered | Grady Brookhaven Health Center, 2695 Buford Hwy Ne 200, Atlanta, GA 30324 | 2020-03-11 |
| 1326515636 | Jacqueline Beckhom | Rehabilitation Counselor | Trinity Social Services, LLC 50 Lenox Pointe, Ne Suite, Atlanta, GA 30324 | 2018-10-25 |
| 1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
| 1730625989 | Hwh, LLC | In Home Supportive Care | 1108 Pine Heights Dr Ne, Atlanta, GA 30324 | 2017-01-12 |
| 1780134403 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2452 Morosgo Way Ne, Atlanta, GA 30324 | 2016-10-05 |
| 1063891372 | Jacqueline Nguyen | Family Medicine | 1125 Norwich Cir Ne, Atlanta, GA 30324 | 2015-05-20 |
| 1306277595 | Gerald Elroy Mitchell | Occupational Therapist | 1261 La Vista Road Ne, L - 4, Atlanta, GA 30324 | 2013-12-12 |
| 1487086138 | Continuum Care Group | Anesthesiology | 3574 Lenox Rd, 655, Atlanta, GA 30324 | 2013-08-05 |
| 1336589183 | Mary Azar Pride | Registered Nurse | 30-b Lenox Pte. N.e., Bldg 30 - Suite B, Atlanta, GA 30324 | 2013-06-26 |
| 1669721403 | Sarah Nolin | Occupational Therapist | 1704 Chantilly Dr. Ne, Atlanta, GA 30324 | 2012-09-07 |
| Find all providers in zip 30324 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609993260 | Peter W Benoit | Medical Genetics, Ph.D. Medical Genetics | 3280 Howell Mill Rd Nw, Suite 240, Atlanta, GA 30327-4111 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493689 | Zunyan Dai | Medical Genetics, Ph.D. Medical Genetics | 550 Lakehill Way, Johns Creek, GA 30022-7453 | 2020-10-05 |
| 1154431732 | North Fayette Family Practice | Medical Genetics, Ph.D. Medical Genetics | 290 Highway 314 Ste B, Fayetteville, GA 30214-7813 | 2006-08-30 |
| 1659369593 | Joe C Liu | Medical Genetics, Ph.D. Medical Genetics | 5150 Buford Hwy, Ste C-200, Doraville, GA 30340-1153 | 2005-10-13 |
| 1225564677 | One Health Research Clinic, Inc | Medical Genetics, Ph.D. Medical Genetics | 5430 Jimmy Carter Blvd, Suite 200b, Norcross, GA 30093-1517 | 2017-05-04 |
| 1790987956 | Sandra W. Helman | Medical Genetics, Ph.D. Medical Genetics | 1120 15th St, Ba1641, Augusta, GA 30912-0004 | 2007-06-01 |
| 1952323057 | Reliant Healthcare LLC | Medical Genetics, Ph.D. Medical Genetics | 1406 Broadrick Drive, Dalton, GA 30720 | 2006-07-25 |
| 1821047721 | Internal Medicine Education & Research Foundation of Columbus, Inc | Medical Genetics, Ph.D. Medical Genetics | 710 Center St, Columbus, GA 31901-1527 | 2006-05-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.