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NPI Code Detail

MEDICARE: HUMAN TUNE-UP CLINIC, LLC.

MEDICARE: HUMAN TUNE-UP CLINIC, LLC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720701725
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUMAN TUNE-UP CLINIC, LLC.
Provider Business Mailing Address
First Line : PO BOX 54457
Second Line :
City : ATLANTA
State : GA
Zip : 30308-0457
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1701 ADAMS DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30311-3627
Country : US
Telephone Number : 404-640-3023
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. ALEM TURPEAU
Credential : MD
Telephone Number : 404-640-3023
Provider Enumeration Date : 09/23/2022
Last Update Date : 09/23/2022

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