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Organization
EXALTED MEDICAL WELLNESS CENTER LLC.
Active
Organization
EXALTED MEDICAL WELLNESS CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIERRA DENA JOHNSON LMT (OWNER)
(313) 412-9568
Entity
Organization
Contact information
Practice address
1579 STAMPMILL WAY, LAWRENCEVILLE, GA 30043-6288
(313) 412-9568
Mailing address
1579 STAMPMILL WAY, LAWRENCEVILLE, GA 30043-6288
(313) 412-9568
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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