Longer Life Services of Ga Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LONGER LIFE SERVICES OF GA CORPORATION

Practice address

1025 Rose Creek Dr
Suite 620-173
Woodstock, GA 30189-6797

Phone

(404) 438-1293

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Pablo Sanu

Title

President

Phone

(404) 438-1293

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1760662902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ROSE CREEK DR",
            "address_2": "SUITE 620-173",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896797",
            "telephone_number": "404-438-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ROSE CREEK DR",
            "address_2": "SUITE 620-173",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896797",
            "telephone_number": "404-438-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGER LIFE SERVICES OF GA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "SANU",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-438-1293"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin L Lloyd, PHD, LPC
• Sarah-Margaret Locke, PT, DPT
• Robin Loe, MD
• Cristian Lomeli
• Lina London
• Longevity Healthcare LLC
• Lookout Community Service
• Lookout Mountain Community Service
• Daniella Lopez, RBT
• Jorge L Lopez, PAC

• All providers in Woodstock, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.