| Fraiche Wellness | |
|
59 Cedar Pt Dallas GA 30132-1096 | |
| (404) 578-1204 | |
| Not Available |
| Full Name | Fraiche Wellness |
|---|---|
| Speciality | Clinic/center |
| Location | 59 Cedar Pt, Dallas, Georgia |
| Authorized Official Name and Position | Shelley Anderson (CEO) |
| Authorized Official Contact | 6788235699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fraiche Wellness 59 Cedar Pt Dallas GA 30132-1096 Ph: () - | Fraiche Wellness 59 Cedar Pt Dallas GA 30132-1096 Ph: (404) 578-1204 |
| NPI Number | 1851152458 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851152458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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