Valley Wellness Center, Llc | |
327 Dahlonega Street, Bldg 1200 Cumming GA 30040 | |
(770) 887-2303 | |
(678) 807-7840 |
Full Name | Valley Wellness Center, Llc |
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Speciality | Chiropractor |
Location | 327 Dahlonega Street, Bldg 1200, Cumming, Georgia |
Authorized Official Name and Position | Clayton P Williams (OWNER/DIRECTOR) |
Authorized Official Contact | 7708872303 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley Wellness Center, Llc 327 Dahlonega Street, Bldg 1200 Cumming GA 30040 Ph: (770) 887-2303 | Valley Wellness Center, Llc 327 Dahlonega Street, Bldg 1200 Cumming GA 30040 Ph: (770) 887-2303 |
NPI Number | 1235590472 |
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Provider Enumeration Date | 03/16/2016 |
Last Update Date | 06/29/2022 |
Medicare PECOS PAC ID | 4587059183 |
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Medicare Enrollment ID | O20220317001523 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235590472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 44237 (Georgia) | Secondary |
111N00000X | Chiropractor | (Georgia) | Primary |
Provider Name | Clayton P Williams |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1376627166 PECOS PAC ID: 9537113717 Enrollment ID: I20050310000350 |
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