Mediwellness, Llc

LBN: Mediwellness, Llc
Mediwellness, Llc is an health care organization with primary practice located at 2227 Idlewood Rd Suite 200, Tucker GA 30084-4827. The organization recently has only one registered license in Chiropractic Providers / Neurology, which is considered as the primary health care specialty. Mediwellness, Llc can be contacted via phone (678) 531-9692, or through Clark, Fannie via phone (678) 531-9692.

Contact Information

Primary practice address
2227 Idlewood Rd Suite 200 Tucker GA 30084-4827
Phone: (678) 531-9692
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Fannie
Phone: (678) 531-9692

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X

Profile Details

NPI number 1750615464
LBN Legal business name Mediwellness, Llc
DBA Doing business as
Authorized official Clark, Fannie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2009
Last updated Sep 28th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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