| Wellness Solution 360 | |
|
2810 Peachtree Industrial Blvd Ste D Duluth GA 30097-8142 | |
| (470) 785-0294 | |
| Not Available |
| Full Name | Wellness Solution 360 |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2810 Peachtree Industrial Blvd Ste D, Duluth, Georgia |
| Authorized Official Name and Position | Pamela D Freeman (FOUNDER, NURSE PRACTITIONER) |
| Authorized Official Contact | 4702611010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Solution 360 2810 Peachtree Industrial Blvd Ste D Duluth GA 30097-8142 Ph: (470) 261-1010 | Wellness Solution 360 2810 Peachtree Industrial Blvd Ste D Duluth GA 30097-8142 Ph: (470) 785-0294 |
| NPI Number | 1801552831 |
|---|---|
| Provider Enumeration Date | 11/14/2021 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Medicare PECOS PAC ID | 9032503651 |
|---|---|
| Medicare Enrollment ID | O20220224002506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801552831 | NPI | - | NPPES |
| 003213914A | Medicaid | GA |
| Provider Name | Pamela D Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730675893 PECOS PAC ID: 0042614638 Enrollment ID: I20210804000737 |
| Provider Name | Vanessa Hamlet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023327558 PECOS PAC ID: 8224473277 Enrollment ID: I20240229000682 |
| Provider Name | Jennifer Hall Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619594520 PECOS PAC ID: 7911348552 Enrollment ID: I20240514000330 |
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