| West Georgia Wellness Center Llc | |
|
126 Enterprise Path Ste 104b Hiram GA 30141-2655 | |
| (609) 480-9853 | |
| Not Available |
| Full Name | West Georgia Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 126 Enterprise Path Ste 104b, Hiram, Georgia |
| Authorized Official Name and Position | Andrew Widota (COO) |
| Authorized Official Contact | 6094809853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Georgia Wellness Center Llc 2102 Kendall Close Nw Acworth GA 30102-7956 Ph: () - | West Georgia Wellness Center Llc 126 Enterprise Path Ste 104b Hiram GA 30141-2655 Ph: (609) 480-9853 |
| NPI Number | 1740987379 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740987379 | NPI | - | NPPES |
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