# TOTAL WELLNESS & REHAB CENTER LLC

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

## Provider details

- **NPI number:** 1316390107
- **Authorized official:** RAHAN SYED (OWNER)
- **Authorized official phone:** (678) 691-0476

## Contact information

- **Practice address:** 153 LEE BYRD RD, LOGANVILLE, GA 30052-2310
- **Practice address phone:** (678) 691-0476
- **Practice address fax:** (678) 691-0649
- **Mailing address:** 153 LEE BYRD RD, LOGANVILLE, GA 30052-2310
- **Mailing address phone:** (678) 691-0476
- **Mailing address fax:** (678) 691-0649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2016
- **Last updated:** 07/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6786910476 | 6786910476 | GA |