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Organization
WHOLE LIFE HEALTH CENTER LLC
Active
Organization
WHOLE LIFE HEALTH CENTER LLC
Active
Other names
Pain Center of Gwinnett
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND T ALEXANDER DC (OWNER/PRESIDENT)
(678) 407-8230
Entity
Organization
Contact information
Practice address
2000 RIVERSIDE PKWY, SUITE 206, LAWRENCEVILLE, GA 30043-5926
(678) 407-8230
(678) 407-8233
Mailing address
2000 RIVERSIDE PKWY, SUITE 206, LAWRENCEVILLE, GA 30043-5926
(678) 407-8230
(678) 407-8233
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIR002925
GA
207Q00000X
Family Medicine Physician
Primary
53982
GA
363LF0000X
Family Nurse Practitioner
RN198365
GA
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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