| Healthqwest Llc | |
|
2109 Fairburn Rd Ste A Douglasville GA 30135-1037 | |
| (770) 726-7958 | |
| (770) 693-0829 |
| Full Name | Healthqwest Llc |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 2109 Fairburn Rd Ste A, Douglasville, Georgia |
| Authorized Official Name and Position | Robyn Tanis (EXECUTIVE DIRECTOR OF CONTRACT MGMT) |
| Authorized Official Contact | 8565338762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthqwest Llc 1317 Route 73 Ste 200 Mount Laurel NJ 08054-2202 Ph: (856) 439-6111 | Healthqwest Llc 2109 Fairburn Rd Ste A Douglasville GA 30135-1037 Ph: (770) 726-7958 |
| NPI Number | 1730482621 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730482621 | NPI | - | NPPES |
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