Organization
COOSA VALLEY WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE CAMPBELL (PRESIDENT)
(904) 302-3202
Entity
Organization
Contact information
Practice address
4451 ALABAMA HWY NW STE 2, ROME, GA 30165-9200
(904) 302-3202
(706) 739-7276
Mailing address
4451 ALABAMA HWY NW, ROME, GA 30165-9200
(904) 302-3202
(706) 739-7276
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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