Back To Life Medical Group, Llc
Non-pharmacy Dispensing Site
557 Riverstone Pkwy, Suite 140, Canton
Georgia, 30114-5223
770-345-2000 770-345-4524
Back To Life Medical Group, Llc is a Non-pharmacy Dispensing Site in Canton, Georgia. This organization is also known as sub part of Back To Life Medical Group, Llc. It is located at 557 Riverstone Pkwy, Suite 140, Canton and it's customer support contact number is 770-345-2000. The authorized person of Back To Life Medical Group, Llc is Satish Cuddapah, MD who is Medical Director of the pharmacy and his contact number is 770-345-2000.
Back To Life Medical Group, Llc is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Back To Life Medical Group, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Back To Life Medical Group, Llc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 557 Riverstone Pkwy, Suite 140, Canton,
Georgia, 30114-5223 |
| Phone: | 770-345-2000 |
| Fax: | 770-345-4524 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Satish Cuddapah |
| Credentials: | MD |
| Position: | Medical Director |
| Contact Number: | 770-345-2000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1346526530 |
| Parent Organization: | Back To Life Medical Group, Llc |
| NPI Enumeration Date: | 01 Nov, 2011 |
| NPI Last Update On: | 22 Jun, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Back To Life Medical Group, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 557 Riverstone Pkwy, Suite 140
Canton, Georgia |
| Zip: | 30114-5223 |
| Phone Number: | 770-345-2000 |
| Fax Number: | 770-345-4524 |
Patients can reach Back To Life Medical Group, Llc at
557 Riverstone Pkwy, Suite 140, Canton, Georgia or can
call on customer care at 770-345-2000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.