Organization
CARL BEAN MENS HEALTH AND WELLNESS CENTER INC
Active
Other names
NAESM Mens Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUDOLPH H CARN (PRESIDENT/BOARD CHAIR)
(404) 660-0527
Entity
Organization
Contact information
Practice address
2140 M L KING JR DR SW, 2140 M L KING JR DR SW-BLDG. B, ATLANTA, GA 30310-1134
(404) 609-3197
(404) 691-8809
Mailing address
2140 M L KING JR DR SW, BLDG. B, ATLANTA, GA 30310-1134
(404) 660-0527
(404) 691-8809
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
FEE FOR SERVICES
—
Enumeration date
08/14/2019
Last updated
03/10/2025
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