| Living Well Primary Care, Llc | |
|
101 Devant St Suite 902 Fayetteville GA 30214-2710 | |
| (770) 716-8228 | |
| (770) 716-6588 |
| Full Name | Living Well Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Devant St, Fayetteville, Georgia |
| Authorized Official Name and Position | Michelle Jones (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8038079533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Primary Care, Llc 101 Devant St Suite 902 Fayetteville GA 30214-2710 Ph: (770) 716-8228 | Living Well Primary Care, Llc 101 Devant St Suite 902 Fayetteville GA 30214-2710 Ph: (770) 716-8228 |
| NPI Number | 1144593021 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 02/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144593021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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