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Organization

LIVING WELL PRIMARY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE JONES (PRACTICE ADMINISTRATOR)
(803) 807-9533
Entity
Organization

Contact information

Practice address
101 DEVANT ST, SUITE 902, FAYETTEVILLE, GA 30214-2710
(770) 716-8228
(770) 716-6588
Mailing address
101 DEVANT ST, SUITE 902, FAYETTEVILLE, GA 30214-2710
(770) 716-8228
(770) 716-6588

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
02/22/2012
Last updated
02/22/2012
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