Wellness Rx Medical Services LLC
Nurse Practitioner in Atlanta, GA. Organization (NPI-2).
NPI number1932734530
StatusActive
Last updated in NPPESMar 4, 2020
Details
- NPI
- 1932734530
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellness Rx Medical Services LLC
- Organization subpart
- No
- Enumeration date
- Mar 4, 2020
- Certification date
- Mar 4, 2020
- Last updated
- Mar 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
1379 Plaza Ave SwAtlanta, GA 30310-3742
Phone 229-412-5666
Mailing address
1379 Plaza Ave SwAtlanta, GA 30310-3742
Phone 229-412-5666
Authorized official
Keldreca Thomas
Nurse Practitioner
2294125666
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