| Temple Wellness, Llc | |
|
1422 Green Rd Ste M Chatsworth GA 30705-6999 | |
| (706) 260-8006 | |
| Not Available |
| Full Name | Temple Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1422 Green Rd Ste M, Chatsworth, Georgia |
| Authorized Official Name and Position | Kasie Barrett (OWNER) |
| Authorized Official Contact | 7062608006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Temple Wellness, Llc 1422 Green Rd Ste M Chatsworth GA 30705-6999 Ph: () - | Temple Wellness, Llc 1422 Green Rd Ste M Chatsworth GA 30705-6999 Ph: (706) 260-8006 |
| NPI Number | 1235940487 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 05/08/2025 |
| Medicare PECOS PAC ID | 0345760120 |
|---|---|
| Medicare Enrollment ID | O20250224002151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235940487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kasie D Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528001765 PECOS PAC ID: 4082648589 Enrollment ID: I20050927000081 |
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