Organization
MEDICINE WHEEL CLINIC - WINDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIE LEYVA MTH (OWNER)
(770) 277-7958
Entity
Organization
Contact information
Practice address
85 AUBURN PARK DR, AUBURN, GA 30011-3639
(770) 277-7958
(770) 277-9628
Mailing address
85 AUBURN PARK DR, AUBURN, GA 30011-3639
(770) 277-7958
(770) 277-9628
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
NTP001046
GA
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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