Golden Hands Weight Loss And Wellness Clinic | |
4075 Charles Hardy Pkwy Ste 122 Dallas GA 30157-3317 | |
(770) 693-9435 | |
Not Available |
Full Name | Golden Hands Weight Loss And Wellness Clinic |
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Speciality | Clinic/Center |
Location | 4075 Charles Hardy Pkwy Ste 122, Dallas, Georgia |
Authorized Official Name and Position | Joice Atem Anu (NP) |
Authorized Official Contact | 7706939435 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Golden Hands Weight Loss And Wellness Clinic 4075 Charles Hardy Pkwy Ste 122 Dallas GA 30157-3317 Ph: (770) 693-9435 | Golden Hands Weight Loss And Wellness Clinic 4075 Charles Hardy Pkwy Ste 122 Dallas GA 30157-3317 Ph: (770) 693-9435 |
NPI Number | 1588317358 |
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Provider Enumeration Date | 02/01/2022 |
Last Update Date | 02/01/2022 |
Medicare PECOS PAC ID | 9335532670 |
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Medicare Enrollment ID | O20220208002603 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588317358 | NPI | - | NPPES |
1598224081 | Other | GA | NPI |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Joice Atem Anu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598224081 PECOS PAC ID: 7214329911 Enrollment ID: I20220208002694 |
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