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Organization

LIVING WELL PRIMARY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LEE PENNINGTON MCNICHOLS NP (OWNER/MANAGING MEMBER)
(404) 819-7660
Entity
Organization

Contact information

Practice address
12460 CRABAPPLE RD STE 202-313, ALPHARETTA, GA 30004-6602
(404) 819-7660
(404) 393-7788
Mailing address
12460 CRABAPPLE RD STE 202-313, ALPHARETTA, GA 30004-6602
(404) 819-7660
(404) 393-7788

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
07/06/2022
Last updated
07/06/2022
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