| Shalom Wellness Clinic | |
|
925b Peachtree St Ne Ste 2050 Atlanta GA 30309-3918 | |
| (864) 986-7496 | |
| Not Available |
| Full Name | Shalom Wellness Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 925b Peachtree St Ne Ste 2050, Atlanta, Georgia |
| Authorized Official Name and Position | Rasheena T Moonie (FOUNDER) |
| Authorized Official Contact | 8649867496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalom Wellness Clinic 925b Peachtree St Ne Ste 2050 Atlanta GA 30309-3918 Ph: (864) 986-7496 | Shalom Wellness Clinic 925b Peachtree St Ne Ste 2050 Atlanta GA 30309-3918 Ph: (864) 986-7496 |
| NPI Number | 1841997988 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/09/2023 |
| Medicare PECOS PAC ID | 9830556596 |
|---|---|
| Medicare Enrollment ID | O20230612001407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841997988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Rasheena Moonie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174915037 PECOS PAC ID: 6709106750 Enrollment ID: I20230612002423 |
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