| Atlanta Center For Family Wellness, Llc | |
|
1401 Peachtree St Ne Ste 210 Atlanta GA 30309-3000 | |
| (404) 550-9981 | |
| (404) 475-4880 |
| Full Name | Atlanta Center For Family Wellness, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1401 Peachtree St Ne Ste 210, Atlanta, Georgia |
| Authorized Official Name and Position | Nathaniel Andrew Wilson (PSYCHOLOGIST) |
| Authorized Official Contact | 4045509981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Center For Family Wellness, Llc Po Box 7730 Atlanta GA 30357-0730 Ph: (404) 550-9981 | Atlanta Center For Family Wellness, Llc 1401 Peachtree St Ne Ste 210 Atlanta GA 30309-3000 Ph: (404) 550-9981 |
| NPI Number | 1215103767 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215103767 | NPI | - | NPPES |
| 624392123A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY002857 (Georgia) | Primary |
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