| Alpha Health and Wellness LLC | |
|
2274 Salem Rd Se # 106-1232 Conyers GA 30013-2097 | |
| (770) 648-5333 | |
| Not Available |
| Full Name | Alpha Health and Wellness LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2274 Salem Rd Se # 106-1232, Conyers, Georgia |
| Authorized Official Name and Position | Lucretia Michelle Martin Josephs (NURSE PRACTITIONER) |
| Authorized Official Contact | 7706485333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Health and Wellness LLC 35 Camerons Ct Covington GA 30016-1182 Ph: (770) 895-9463 | Alpha Health and Wellness LLC 2274 Salem Rd Se # 106-1232 Conyers GA 30013-2097 Ph: (770) 648-5333 |
| NPI Number | 1023857489 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Medicare PECOS PAC ID | 7214455435 |
|---|---|
| Medicare Enrollment ID | O20250520004292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023857489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Lucretia Martin Josephs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902673254 PECOS PAC ID: 8123546348 Enrollment ID: I20250521000657 |
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