Organization
MBA WELLNESS CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. INDIA C JOHNSON (CO-OWNER)
(770) 474-4009
Entity
Organization
Contact information
Practice address
1233 EAGLES LANDING PKWY, SUITE C&D, STOCKBRIDGE, GA 30281-6399
(770) 474-4009
(770) 474-8003
Mailing address
1233 EAGLES LANDING PKWY, SUITE C&D, STOCKBRIDGE, GA 30281-6399
(770) 474-4009
(770) 474-8003
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
NTP001062
GA
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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