Organization
UPPERHEALTH WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIRAT O SHOMUYIWA (OWNER)
(678) 895-8405
Entity
Organization
Contact information
Practice address
11340 LAKEFIELD DR STE 200, JOHNS CREEK, GA 30097-2456
(678) 895-8405
Mailing address
11340 LAKEFIELD DR STE 200, JOHNS CREEK, GA 30097-2456
(678) 895-8405
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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