Organization
PREVENTATIVE HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE R ALLEN (OWNER)
(347) 559-3139
Entity
Organization
Contact information
Practice address
2310 HENRY CLOWER BLVD STE A, SNELLVILLE, GA 30078-5776
(347) 559-3139
(800) 364-0927
Mailing address
2310 HENRY CLOWER BLVD STE A, SNELLVILLE, GA 30078-5776
(347) 559-3139
(800) 364-0927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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