Life Health & Wellness Center, Llc | |
1707 North Blairs Bridge Rd Austell GA 30168 | |
(470) 513-3908 | |
(770) 502-6492 |
Full Name | Life Health & Wellness Center, Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1707 North Blairs Bridge Rd, Austell, Georgia |
Authorized Official Name and Position | Natalie Mccall-gaston (CEO) |
Authorized Official Contact | 6786414391 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Life Health & Wellness Center, Llc 1707 North Blairs Bridge Rd Austell GA 30168 Ph: (470) 513-3908 | Life Health & Wellness Center, Llc 1707 North Blairs Bridge Rd Austell GA 30168 Ph: (470) 513-3908 |
NPI Number | 1255901104 |
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Provider Enumeration Date | 07/01/2021 |
Last Update Date | 10/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255901104 | NPI | - | NPPES |
003137957D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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