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Organization
ALPHA NUTRITION & WELLNESS CENTER, LLC
Active
Organization
ALPHA NUTRITION & WELLNESS CENTER, LLC
Active
Parent organization
ALPHA NUTRITION & WELLNESS CENTER, LLC
Other names
Alpharetta Diagnostics Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPHA NUTRITION & WELLNESS CENTER, LLC
Authorized official
DR. VERONICA O OKWOCHE PHD (DIRECTOR)
(678) 538-8696
Entity
Organization
Contact information
Practice address
11130 STATE BRIDGE RD STE E101, JOHNS CREEK, GA 30022-2641
(678) 538-8696
(478) 419-3990
Mailing address
801 LOCUST GROVE CT, ALPHARETTA, GA 30004-1157
(678) 537-1068
(478) 419-3990
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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