Organization
STAYWELLATL,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H COLLIER (OWNER)
(770) 644-0093
Entity
Organization
Contact information
Practice address
2550 HERITAGE CT SE STE 135, ATLANTA, GA 30339-3528
(770) 644-0093
Mailing address
2550 HERITAGE CT SE STE 135, ATLANTA, GA 30339-3528
(770) 644-0093
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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