Organization
CAEDEL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLAIRE K WILLIE M.D. (C.E.O)
(678) 216-0432
Entity
Organization
Contact information
Practice address
101 DEVANT ST STE 803, FAYETTEVILLE, GA 30214-2716
(678) 216-0342
(678) 216-0348
Mailing address
PO BOX 9, FAYETTEVILLE, GA 30214-0009
(678) 216-0342
(678) 216-0348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
039177
GA
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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