| Coosa Valley Wellness, Llc | |
|
4451 Alabama Hwy Nw Ste 2 Rome GA 30165-9200 | |
| (904) 302-3202 | |
| (706) 739-7276 |
| Full Name | Coosa Valley Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4451 Alabama Hwy Nw Ste 2, Rome, Georgia |
| Authorized Official Name and Position | Charlie Campbell (PRESIDENT) |
| Authorized Official Contact | 9043023202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coosa Valley Wellness, Llc 4451 Alabama Hwy Nw Rome GA 30165-9200 Ph: (904) 302-3202 | Coosa Valley Wellness, Llc 4451 Alabama Hwy Nw Ste 2 Rome GA 30165-9200 Ph: (904) 302-3202 |
| NPI Number | 1003646902 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003646902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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