| Caedel Wellness Center | |
|
101 Devant St Ste 803 Fayetteville GA 30214-2716 | |
| (678) 216-0342 | |
| (678) 216-0348 |
| Full Name | Caedel Wellness Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Devant St Ste 803, Fayetteville, Georgia |
| Authorized Official Name and Position | Claire K Willie (C.E.O) |
| Authorized Official Contact | 6782160432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caedel Wellness Center Po Box 9 Fayetteville GA 30214-0009 Ph: (678) 216-0342 | Caedel Wellness Center 101 Devant St Ste 803 Fayetteville GA 30214-2716 Ph: (678) 216-0342 |
| NPI Number | 1306085402 |
|---|---|
| Provider Enumeration Date | 02/12/2009 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306085402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 039177 (Georgia) | Primary |
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