| Uplift Recovery And Wellness Center Inc | |
|
75 Montgomery Ct Covington GA 30016-1223 | |
| (404) 934-3936 | |
| Not Available |
| Full Name | Uplift Recovery And Wellness Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 75 Montgomery Ct, Covington, Georgia |
| Authorized Official Name and Position | Wonder Marie Adams (CEO) |
| Authorized Official Contact | 4049343936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uplift Recovery And Wellness Center Inc 75 Montgomery Ct Covington GA 30016-1223 Ph: () - | Uplift Recovery And Wellness Center Inc 75 Montgomery Ct Covington GA 30016-1223 Ph: (404) 934-3936 |
| NPI Number | 1770367641 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 5991159444 |
|---|---|
| Medicare Enrollment ID | O20231002003086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770367641 | NPI | - | NPPES |
| Provider Name | Russell E Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194769257 PECOS PAC ID: 5496640120 Enrollment ID: I20050318000751 |
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