| Family Wellness Center Llc | |
|
3883 Rogers Bridge Rd Ste 202a Duluth GA 30097-2802 | |
| (770) 545-8359 | |
| Not Available |
| Full Name | Family Wellness Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3883 Rogers Bridge Rd, Duluth, Georgia |
| Authorized Official Name and Position | Bola K Olateru-olagbegi (MANAGER) |
| Authorized Official Contact | 7705458359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness Center Llc 3883 Rogers Bridge Rd Ste 202a Duluth GA 30097-2802 Ph: (770) 545-8359 | Family Wellness Center Llc 3883 Rogers Bridge Rd Ste 202a Duluth GA 30097-2802 Ph: (770) 545-8359 |
| NPI Number | 1225489354 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 06/30/2016 |
| Medicare PECOS PAC ID | 4587932348 |
|---|---|
| Medicare Enrollment ID | O20170620000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225489354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Otis S Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285654301 PECOS PAC ID: 6103804554 Enrollment ID: I20040713000109 |
| Provider Name | Reginald Drumgoole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689743270 PECOS PAC ID: 7113954447 Enrollment ID: I20050719000594 |
| Provider Name | Jose M Artadi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811992787 PECOS PAC ID: 4183797384 Enrollment ID: I20080722000172 |
| Provider Name | Mohammed K Soomro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831242569 PECOS PAC ID: 3577738723 Enrollment ID: I20111219000327 |
| Provider Name | Miata D O'neil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679898662 PECOS PAC ID: 3173934932 Enrollment ID: I20201130001358 |
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