Organization · NPI-2

Annual Wellness Centers Of America

Clinic/Center · Gainesville, GA

NPI number1043618259
StatusActive
Last updated in NPPESDec 22, 2014

Details

NPI
1043618259
Entity type
Organization (NPI-2)
Legal business name
Annual Wellness Centers Of America
Organization subpart
No
Enumeration date
Dec 22, 2014
Last updated
Dec 22, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

3030 Mcever Rd
Suite 300
Gainesville, GA 30504-5579

Phone 770-503-0021

Mailing address

3030 Mcever Rd
Suite 300
Gainesville, GA 30504-5579

Phone 770-503-0021

Authorized official

Robert Ferraro
Registered Agent
7705030021

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