| Wisteria Wellness Center, Inc. | |
|
2336 Wisteria Dr Ste 410 Snellville GA 30078-6160 | |
| (770) 979-0074 | |
| (770) 979-8305 |
| Full Name | Wisteria Wellness Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2336 Wisteria Dr Ste 410, Snellville, Georgia |
| Authorized Official Name and Position | Flora Denise Cox (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7709790074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisteria Wellness Center, Inc. 2336 Wisteria Dr Ste 410 Snellville GA 30078-6160 Ph: (770) 979-0074 | Wisteria Wellness Center, Inc. 2336 Wisteria Dr Ste 410 Snellville GA 30078-6160 Ph: (770) 979-0074 |
| NPI Number | 1669522959 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669522959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Georgia) | Primary |
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