| Crittenden Family Health And Wellness Center | |
|
125 Commerce Dr Fayetteville GA 30214-7336 | |
| (678) 519-0808 | |
| (678) 519-0576 |
| Full Name | Crittenden Family Health And Wellness Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 125 Commerce Dr, Fayetteville, Georgia |
| Authorized Official Name and Position | Darlene Rene Crittenden (PRESIDENT/NURSE PRACTITIONER) |
| Authorized Official Contact | 7063254550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crittenden Family Health And Wellness Center 125 Commerce Dr Fayetteville GA 30214-7336 Ph: (678) 519-0808 | Crittenden Family Health And Wellness Center 125 Commerce Dr Fayetteville GA 30214-7336 Ph: (678) 519-0808 |
| NPI Number | 1730695776 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 12/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730695776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | RN106186 (Georgia) | Primary |
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