Hydrate Oasis & Wellness | |
1012 Main St Stone Mountain GA 30083-2944 | |
(770) 780-9053 | |
Not Available |
Full Name | Hydrate Oasis & Wellness |
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Speciality | Family Medicine |
Location | 1012 Main St, Stone Mountain, Georgia |
Authorized Official Name and Position | Yvanne Jean-obei (OWNER) |
Authorized Official Contact | 9547931391 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hydrate Oasis & Wellness 1012 Main St Stone Mountain GA 30083-2944 Ph: (770) 780-9053 | Hydrate Oasis & Wellness 1012 Main St Stone Mountain GA 30083-2944 Ph: (770) 780-9053 |
NPI Number | 1265289953 |
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Provider Enumeration Date | 05/01/2024 |
Last Update Date | 06/27/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265289953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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