| Medical Wellness Group | |
|
2015 Mlk Jr Drive Atlanta GA 30310 | |
| (770) 256-7033 | |
| (678) 705-3717 |
| Full Name | Medical Wellness Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2015 Mlk Jr Drive, Atlanta, Georgia |
| Authorized Official Name and Position | Beverly Idris (OWNER/CEO) |
| Authorized Official Contact | 7702567033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Wellness Group 1276 Cedar Keys Ct Stone Mountain GA 30083-1811 Ph: (770) 256-7033 | Medical Wellness Group 2015 Mlk Jr Drive Atlanta GA 30310 Ph: (770) 256-7033 |
| NPI Number | 1598000234 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 12/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598000234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 39485 (Georgia) | Primary |
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