Wellness Ease Llc | |
3225 N Point Pkwy Ste 103 Alpharetta GA 30005-4726 | |
(770) 307-6241 | |
(833) 450-5693 |
Full Name | Wellness Ease Llc |
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Speciality | Internal Medicine |
Location | 3225 N Point Pkwy Ste 103, Alpharetta, Georgia |
Authorized Official Name and Position | Keisha B Ellis (PHYSICIAN / GENERAL PARTNER) |
Authorized Official Contact | 7864193860 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellness Ease Llc 3225 N Point Pkwy Ste 103 Alpharetta GA 30005-4726 Ph: (770) 307-6241 | Wellness Ease Llc 3225 N Point Pkwy Ste 103 Alpharetta GA 30005-4726 Ph: (770) 307-6241 |
NPI Number | 1235985318 |
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Provider Enumeration Date | 04/29/2024 |
Last Update Date | 08/20/2024 |
Medicare PECOS PAC ID | 5799227435 |
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Medicare Enrollment ID | O20240610000482 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235985318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Keisha Bonhomme Ellis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366887861 PECOS PAC ID: 9436401031 Enrollment ID: I20181009003866 |
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