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Organization
WELLVIA INC
Active
Organization
WELLVIA INC
Active
Other names
DR. SMITH'S PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA FRAGOMENI (CFO)
(770) 438-8446
Entity
Organization
Contact information
Practice address
6330 RIVERDALE RD, RIVERDALE, GA 30274-1617
(770) 438-8446
(470) 704-4378
Mailing address
2472 JETT FERRY RD # 400-456, ATLANTA, GA 30338-3059
(770) 438-8446
(470) 704-4378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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