Organization
CARL BEAN MENS HEALTH AND WELLNESS CENTER INC
Active
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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