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GEORGIA WELLNESS ASSOCIATES NPI 1154761385


NPI Information

NPI: 1154761385
Provider Name: GEORGIA WELLNESS ASSOCIATES

Doing Business As: GEORGIA PAIN AND WELLNESS

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
552 PONCE DE LEON AVE NE
ATLANTA, GA
ZIP 30308
Phone: (678) 235-2401
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GEORGIA WELLNESS ASSOCIATES is an ambulatory surgical clinic center in Atlanta, GA. GEORGIA WELLNESS ASSOCIATES NPI is 1154761385. The provider is registered as an organization entity type.
The provider Is Doing Business As Georgia Pain And Wellness.

The provider's business location address is:

552 PONCE DE LEON AVE NE
ATLANTA, GA
ZIP 30308-806
Phone: (678) 235-2401
Fax: (678) 235-2403

The provider's authorized official is Cynthia M Tate .
The authorized official title is Administrator and has the following contact phone number (404) 910-2922.

The enumeration date for this NPI number is 7/2/2013 and was last updated on 7/2/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP3300XClinic/CenterPainNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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