| Joint Health And Wellness Of Georgia Llc | |
|
230 W College St Ste C Griffin GA 30224-4249 | |
| (678) 871-3735 | |
| Not Available |
| Full Name | Joint Health And Wellness Of Georgia Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 230 W College St Ste C, Griffin, Georgia |
| Authorized Official Name and Position | Derek Shahn Hall (MANAGING MEMBER) |
| Authorized Official Contact | 4047348139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joint Health And Wellness Of Georgia Llc 230 W College St Ste C Griffin GA 30224-4249 Ph: (678) 871-3735 | Joint Health And Wellness Of Georgia Llc 230 W College St Ste C Griffin GA 30224-4249 Ph: (678) 871-3735 |
| NPI Number | 1619631355 |
|---|---|
| Provider Enumeration Date | 10/28/2021 |
| Last Update Date | 10/17/2024 |
| Medicare PECOS PAC ID | 1850783002 |
|---|---|
| Medicare Enrollment ID | O20220119003034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619631355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| Provider Name | Barbara Haskew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467745422 PECOS PAC ID: 7719204932 Enrollment ID: I20150327002126 |
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