LOTUS FAMILY WELLNESS CLINIC, LLC is a clinic center in Riverdale, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LOTUS FAMILY WELLNESS CLINIC, LLC NPI is 1013497171. The provider is registered as an organization entity type.
The provider's business location address is:
1240 HIGHWAY 138 SW
RIVERDALE, GA
ZIP 30296-402
Phone: (404) 668-1827
The provider's authorized official is Qiana Aidah Johnson .
The authorized official title is Owner/family Nurse Practitioner and has the following contact phone number (404) 668-1827.
The CLIA number assigned to this NPI record is 11D2150693 - other - hlthcare clinic-outpatc with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/17/2018 and was last updated on 8/17/2018.