| Livewell Health Services | |
|
1250b Auburn Rd Ste 202 Dacula GA 30019-5433 | |
| (678) 689-6888 | |
| Not Available |
| Full Name | Livewell Health Services |
|---|---|
| Speciality | Family Medicine |
| Location | 1250b Auburn Rd Ste 202, Dacula, Georgia |
| Authorized Official Name and Position | Bertram Prosser (OWNER) |
| Authorized Official Contact | 6786896880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livewell Health Services 1250b Auburn Rd Ste 202 Dacula GA 30019-5433 Ph: (678) 689-6888 | Livewell Health Services 1250b Auburn Rd Ste 202 Dacula GA 30019-5433 Ph: (678) 689-6888 |
| NPI Number | 1730665365 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 07/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730665365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 75651 (Georgia) | Primary |
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