Harley Anti-Aging Institute LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

028500 Issued in GA

Legal business name

HARLEY ANTI-AGING INSTITUTE LLC

Practice address

1800 Peachtree St NW
Suite 455
Atlanta, GA 30309-2519

Phone

(678) 500-1066

Fax

(678) 500-1067

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sharon A Bent-Harley, M.D.

Title

President/Ceo

Phone

(678) 500-1066

Specialties & licenses 1

Addresses

Tax ID family

Harley Anti-Aging Institute LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Harley Anti-Aging Institute LLC

  • Ph.D. Medical Genetics
  • Atlanta, GA
  • NPI 1447594569
  NPD tax ID

Locations

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1669614343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW",
            "address_2": "SUITE 455",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092519",
            "telephone_number": "678-500-1066",
            "fax_number": "678-500-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW",
            "address_2": "SUITE 455",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092519",
            "telephone_number": "678-500-1066",
            "fax_number": "678-500-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEY ANTI-AGING INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "BENT-HARLEY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "678-500-1066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "028500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Harkins, MD
• Patrick Harkins, M.D.
• Breona Harlan
• Danielle Harlan
• Harley Anti-Aging Institute LLC
• Erin Harlow-Parker, RN,MS,CS
• Richard J Harlow, PHARM.D.
• Nicole Naylor Harman, OTR
• Andrew Harmez
• Casey Renee Harmon, PT

• Durable Medical Equipment & Medical Supplies in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.