| Priority Health And Wellness | |
|
3855 Oakview Dr Ste 400 Powder Springs GA 30127-2233 | |
| (770) 686-7002 | |
| Not Available |
| Full Name | Priority Health And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 3855 Oakview Dr Ste 400, Powder Springs, Georgia |
| Authorized Official Name and Position | Trisha Duru (ADMINISTRATOR) |
| Authorized Official Contact | 7706867002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority Health And Wellness 280 Merchants Dr Unit 340 Dallas GA 30132-0702 Ph: (770) 686-7002 | Priority Health And Wellness 3855 Oakview Dr Ste 400 Powder Springs GA 30127-2233 Ph: (770) 686-7002 |
| NPI Number | 1629693411 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Medicare PECOS PAC ID | 8123440948 |
|---|---|
| Medicare Enrollment ID | O20200624003032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629693411 | NPI | - | NPPES |
| Provider Name | Trisha Duru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144781592 PECOS PAC ID: 9032531850 Enrollment ID: I20200627000199 |
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