| Nwgbh | |
|
5150 Stilesboro Rd Nw Suite 430 Kennesaw GA 30152-7744 | |
| (770) 712-0878 | |
| Not Available |
| Full Name | Nwgbh |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5150 Stilesboro Rd Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Glen Barden (OWNER) |
| Authorized Official Contact | 7707120878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nwgbh 5150 Stilesboro Rd. Nw Suite 430 Kennesaw GA 30152 Ph: (770) 712-0878 | Nwgbh 5150 Stilesboro Rd Nw Suite 430 Kennesaw GA 30152-7744 Ph: (770) 712-0878 |
| NPI Number | 1699178301 |
|---|---|
| Provider Enumeration Date | 10/08/2014 |
| Last Update Date | 10/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699178301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | APC03999 (Georgia) | Primary |
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