| Familywellnessmd | |
|
3371 N Berkeley Lake Rd Nw Suite 101 Berkeley Lake GA 30096-4367 | |
| (404) 625-0531 | |
| Not Available |
| Full Name | Familywellnessmd |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3371 N Berkeley Lake Rd Nw, Berkeley Lake, Georgia |
| Authorized Official Name and Position | Nadia Deborah Taylor (OWNER) |
| Authorized Official Contact | 4046250531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familywellnessmd 3371 N Berkeley Lake Rd Nw Suite 101 Berkeley Lake GA 30096-4367 Ph: (404) 625-0531 | Familywellnessmd 3371 N Berkeley Lake Rd Nw Suite 101 Berkeley Lake GA 30096-4367 Ph: (404) 625-0531 |
| NPI Number | 1386022184 |
|---|---|
| Provider Enumeration Date | 05/12/2015 |
| Last Update Date | 06/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386022184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 056229 (Georgia) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 056229 (Georgia) | Primary |
Hp Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4720 Peachtree Industrial Blvd Ste 202, Berkeley Lake, GA 30071 Phone: 770-454-9047 Fax: 770-457-6311 |