Blue Cryo Franchising Ince

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BLUE CRYO FRANCHISING INCE

Practice address

3872 Roswell Rd NE Ste A2
Atlanta, GA 30342-4400

Phone

(404) 890-7066

NPI assigned

Mar 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alia Alston

Title

Ceo

Phone

(404) 375-3816

Specialties & licenses 1

Addresses

Other names 1

• Icebox Cryotherapy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1043079494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CONCOURSE PKWY STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3872 ROSWELL RD NE STE A2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424400",
            "telephone_number": "404-890-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CRYO FRANCHISING INCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "ALIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-375-3816"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Icebox Cryotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.