Organization
GEORGIA WELLNESS ASSOCIATES
Active
Other names
Georgia Pain and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA M TATE (ADMINISTRATOR)
(404) 910-2922
Entity
Organization
Contact information
Practice address
552 PONCE DE LEON AVE NE, ATLANTA, GA 30308-1806
(678) 235-2401
(678) 235-2403
Mailing address
552 PONCE DE LEON AVE NE, ATLANTA, GA 30308-1806
(678) 235-2401
(678) 235-2403
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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