Organization
NEUROPATHY WELLNESS SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MAYFIELD (PARTNER)
(770) 449-5664
Entity
Organization
Contact information
Practice address
3635 BRASELTON HWY, SUITE C, DACULA, GA 30019-1068
(470) 238-3050
Mailing address
2010 BEAVER RUIN RD, NORCROSS, GA 30071-3710
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25937
GA
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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