| Wellnyss Inc | |
|
3429 Lawrenceville Suwanee Rd Ste A Suwanee GA 30024-2631 | |
| (770) 800-8010 | |
| Not Available |
| Full Name | Wellnyss Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3429 Lawrenceville Suwanee Rd Ste A, Suwanee, Georgia |
| Authorized Official Name and Position | Kevin Kampley (OWNER) |
| Authorized Official Contact | 7708008010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellnyss Inc 3135 Cypress Pond Pass Duluth GA 30097-3722 Ph: () - | Wellnyss Inc 3429 Lawrenceville Suwanee Rd Ste A Suwanee GA 30024-2631 Ph: (770) 800-8010 |
| NPI Number | 1205575677 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 06/02/2022 |
| Medicare PECOS PAC ID | 8628459302 |
|---|---|
| Medicare Enrollment ID | O20220713002284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205575677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Micah Lee Sales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376039578 PECOS PAC ID: 1557614740 Enrollment ID: I20181106001290 |
| Provider Name | Christina Lynn Dehnke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972120624 PECOS PAC ID: 2769805910 Enrollment ID: I20200707002997 |
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