Graduated: 2012
NPI: 1720431679
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
131 HOLLY ST
CANTON, GA 301149566
4708098094
LEGACY HEALTHCARE SERVICES INC
11190 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 300972578
6786916815
Source: CMS National Downloadable File, September 2026.