| Nathaniel Flowers, Llc | |
|
4893 Lavista Rd Tucker GA 30084-4436 | |
| (678) 235-5478 | |
| Not Available |
| Full Name | Nathaniel Flowers, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4893 Lavista Rd, Tucker, Georgia |
| Authorized Official Name and Position | Nathaniel Flowers (PRESIDENT) |
| Authorized Official Contact | 4047251973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Flowers, Llc 1492 Macedonia Rd Newnan GA 30263-3945 Ph: (404) 725-1973 | Nathaniel Flowers, Llc 4893 Lavista Rd Tucker GA 30084-4436 Ph: (678) 235-5478 |
| NPI Number | 1003604620 |
|---|---|
| Provider Enumeration Date | 04/25/2025 |
| Last Update Date | 04/25/2025 |
| Certification Date | 04/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003604620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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