# PRIMERA HEALTH AND WELLNESS

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

## Provider details

- **NPI number:** 1427455575
- **Authorized official:** DR. SHAILESH SUSHIL KOTHARI DC (CEO)
- **Authorized official phone:** (678) 904-7564

## Contact information

- **Practice address:** 3060 PEACHTREE RD NW, SUITE 965, ATLANTA, GA 30305-2234
- **Practice address phone:** (678) 904-7564
- **Mailing address:** 3060 PEACHTREE RD NW, SUITE 965, ATLANTA, GA 30305-2234
- **Mailing address phone:** (678) 904-7564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4838 | GA | Yes |

## Other

- **Enumeration date:** 12/04/2014
- **Last updated:** 12/04/2014