| Tadda's Total Wellness | |
|
2615 Park Central Blvd Decatur GA 30035-3907 | |
| (404) 667-0171 | |
| Not Available |
| Full Name | Tadda's Total Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 2615 Park Central Blvd, Decatur, Georgia |
| Authorized Official Name and Position | Latasha Eileen Lewis (OWNER) |
| Authorized Official Contact | 4046670171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tadda's Total Wellness 2615 Park Central Blvd Decatur GA 30035-3907 Ph: (404) 667-0171 | Tadda's Total Wellness 2615 Park Central Blvd Decatur GA 30035-3907 Ph: (404) 667-0171 |
| NPI Number | 1659997286 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 06/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659997286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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