Healthcare Provider Details

I. General information

NPI: 1396283859
Provider Name (Legal Business Name): ARILEX MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5983 HIGHWAY 53 E STE 100
DAWSONVILLE GA
30534-9512
US

IV. Provider business mailing address

6125 BROADWATER TRL
CUMMING GA
30040-9521
US

V. Phone/Fax

Practice location:
  • Phone: 412-477-4493
  • Fax: 470-281-5129
Mailing address:
  • Phone: 412-477-4493
  • Fax: 470-281-5129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY GEORGE THEOFILIS
Title or Position: PRESIDENT & MEDICAL DIRECTOR
Credential: DO, DABAM, DAAIM
Phone: 412-477-4493