BOLD LEGACY PRACTICE, LLC is an urgent care clinic center in Marietta, GA. BOLD LEGACY PRACTICE, LLC NPI is 1972212116. The provider is registered as an organization entity type. The provider Is Doing Business As Quadrivium Health Llc.
The provider's business location address is:
1401 JOHNSON FERRY RD STE 390 MARIETTA, GA ZIP 30062-100 Phone: (470) 795-0047
The provider's authorized official is Leia Chatman Dawson . The authorized official title is Medical Director and has the following contact phone number (205) 907-5342.
The enumeration date for this NPI number is 11/16/2022 and was last updated on 1/5/2024.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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