Healthcare Provider Details

I. General information

NPI: 1639491780
Provider Name (Legal Business Name): TOUCH LIFE CENTER - ATLANTA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2010
Last Update Date: 05/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 PEACHTREE ST NW SUITE 2200
ATLANTA GA
30303-1202
US

IV. Provider business mailing address

260 PEACHTREE ST NW SUITE 2200
ATLANTA GA
30303-1202
US

V. Phone/Fax

Practice location:
  • Phone: 404-419-1304
  • Fax: 866-846-3838
Mailing address:
  • Phone: 404-419-1304
  • Fax: 866-846-3838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK FORD
Title or Position: DIRECTOR
Credential:
Phone: 614-388-8075