Organization
BWELL MEDICAL AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN ADU-ABOAGYE NURSE PRACTITIONER (ADMINISTRATOR)
(470) 331-9468
Entity
Organization
Contact information
Practice address
5933 STEWART PKWY, DOUGLASVILLE, GA 30135-2371
(470) 331-9468
(770) 234-5717
Mailing address
5933 STEWART PKWY, DOUGLASVILLE, GA 30135-2371
(470) 331-9468
(770) 234-5717
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
05/24/2021
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