| Decatur Wellness Services, Inc. | |
|
235 E Ponce De Leon Ave Ste 308 Decatur GA 30030-3412 | |
| (404) 371-8595 | |
| Not Available |
| Full Name | Decatur Wellness Services, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 235 E Ponce De Leon Ave Ste 308, Decatur, Georgia |
| Authorized Official Name and Position | Kari L Dianich (OWNER) |
| Authorized Official Contact | 4043883996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Wellness Services, Inc. 235 E Ponce De Leon Ave Ste 308 Decatur GA 30030-3412 Ph: (404) 371-8595 | Decatur Wellness Services, Inc. 235 E Ponce De Leon Ave Ste 308 Decatur GA 30030-3412 Ph: (404) 371-8595 |
| NPI Number | 1548671936 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 05/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548671936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CHIR005135 (Georgia) | Primary |
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