| Life Health & Wellness Center, LLC | |
|
1707 North Blairs Bridge Rd Austell GA 30168 | |
| (470) 513-3908 | |
| (770) 502-6492 |
| Full Name | Life Health & Wellness Center, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1707 North Blairs Bridge Rd, Austell, Georgia |
| Authorized Official Name and Position | Natalie Mccall-gaston (CEO) |
| Authorized Official Contact | 6786414391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Health & Wellness Center, LLC 1707 North Blairs Bridge Rd Austell GA 30168 Ph: (470) 513-3908 | Life Health & Wellness Center, LLC 1707 North Blairs Bridge Rd Austell GA 30168 Ph: (470) 513-3908 |
| NPI Number | 1255901104 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255901104 | NPI | - | NPPES |
| 003137957D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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