Organization
SNS HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ABDIAS LOUISSAINT NP (NURSE PRACTITIONER)
(857) 236-5600
Entity
Organization
Contact information
Practice address
821 PAVILION CT STE A, MCDONOUGH, GA 30253-6790
(781) 290-5836
Mailing address
821 PAVILION CT STE A, MCDONOUGH, GA 30253-6790
(770) 321-1773
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
10/19/2024
Last updated
12/01/2024
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