| Mind And Body Wellness Center Inc. | |
|
10475 Medlock Bridge Rd Ste 820 Johns Creek GA 30097-4437 | |
| (404) 800-5181 | |
| (404) 800-5797 |
| Full Name | Mind And Body Wellness Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10475 Medlock Bridge Rd Ste 820, Johns Creek, Georgia |
| Authorized Official Name and Position | Moshe Bachar (PHYSICIAN) |
| Authorized Official Contact | 4048005181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Body Wellness Center Inc. 1801 Peachtree St Ne Ste 300 Atlanta GA 30309-1859 Ph: (404) 800-5181 | Mind And Body Wellness Center Inc. 10475 Medlock Bridge Rd Ste 820 Johns Creek GA 30097-4437 Ph: (404) 800-5181 |
| NPI Number | 1053919225 |
|---|---|
| Provider Enumeration Date | 10/11/2020 |
| Last Update Date | 08/14/2024 |
| Medicare PECOS PAC ID | 5698185809 |
|---|---|
| Medicare Enrollment ID | O20201029000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053919225 | NPI | - | NPPES |
| Provider Name | Anbar Ahmad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861703159 PECOS PAC ID: 5294978946 Enrollment ID: I20151112001815 |
| Provider Name | Jasmine Deidre Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639850977 PECOS PAC ID: 6608227152 Enrollment ID: I20240109001755 |
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