Welltouch Wellness Clinic Llc | |
252 Shannon Way Lawrenceville GA 30044-3793 | |
(404) 409-9439 | |
Not Available |
Full Name | Welltouch Wellness Clinic Llc |
---|---|
Speciality | Clinic/Center |
Location | 252 Shannon Way, Lawrenceville, Georgia |
Authorized Official Name and Position | Jennifer Charlene Pean-winston (CEO/PROVIDER/OWNER) |
Authorized Official Contact | 4044099439 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Welltouch Wellness Clinic Llc 3685 Warwick Way Snellville GA 30039-8069 Ph: (404) 409-9439 | Welltouch Wellness Clinic Llc 252 Shannon Way Lawrenceville GA 30044-3793 Ph: (404) 409-9439 |
NPI Number | 1780466532 |
---|---|
Provider Enumeration Date | 10/17/2023 |
Last Update Date | 10/17/2023 |
Medicare PECOS PAC ID | 3870943038 |
---|---|
Medicare Enrollment ID | O20240822000189 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780466532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Jennifer Pean-winston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811643422 PECOS PAC ID: 4789034943 Enrollment ID: I20240822000137 |
Raymond L. Stovall, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045 Phone: 678-376-1800 Fax: 678-376-5500 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 S Perry St Ste 200, Lawrenceville, GA 30046 Phone: 877-423-1330 | |
Bennett H. Bruckner,m.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045 Phone: 770-962-9410 Fax: 770-962-8489 | |
Metabolic Health Of Lawrenceville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 720 Old Snellville Hwy Ste 150, Lawrenceville, GA 30044 Phone: 678-431-1119 | |