# NEUROPATHY WELLNESS SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215279294
- **Authorized official:** RANDY MAYFIELD (PARTNER)
- **Authorized official phone:** (770) 449-5664

## Contact information

- **Practice address:** 3635 BRASELTON HWY, SUITE C, DACULA, GA 30019-1068
- **Practice address phone:** (470) 238-3050
- **Mailing address:** 2010 BEAVER RUIN RD, NORCROSS, GA 30071-3710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 25937 | GA | Yes |

## Other

- **Enumeration date:** 03/18/2013
- **Last updated:** 03/18/2013
