Atlas Way Health, LLC
Nurse Practitioner, Family in Mcdonough, GA. Organization (NPI-2).
NPI number1962312975
StatusActive
Last updated in NPPESSep 10, 2026
Details
- NPI
- 1962312975
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlas Way Health, LLC
- Organization subpart
- No
- Enumeration date
- Sep 10, 2026
- Certification date
- Sep 10, 2026
- Last updated
- Sep 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
495 Turner DrMcdonough, GA 30252-4902
Phone 678-642-8514
Mailing address
495 Turner DrMcdonough, GA 30252-4902
Phone 678-642-8514
Authorized official
Lorenetta Louise Graves
Owner
6786428514
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