Alpha Medical Wellness And Walk In Clinic LLC
Internal Medicine in Stockbridge, GA. Organization (NPI-2).
NPI number1053033522
StatusActive
Last updated in NPPESMay 2, 2023
Details
- NPI
- 1053033522
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpha Medical Wellness And Walk In Clinic LLC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2022
- Certification date
- May 2, 2023
- Last updated
- May 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
130 Medical WaySuite B
Stockbridge, GA 30281
Phone 678-759-0059 · Fax 678-623-8054
Mailing address
130 Medical WaySuite B
Stockbridge, GA 30281
Phone 678-759-0059 · Fax 678-623-8054
Authorized official
Olusegun Osun
Office Manager
6787590059
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