Organization
LIVINGWELL MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENNIE GLORIA WILLIAMS (FAMILY NURSE PRACTITIONER)
(770) 726-2477
Entity
Organization
Contact information
Practice address
4760 AUSTELL RD STE 3, AUSTELL, GA 30106-2007
(770) 726-2477
Mailing address
4760 AUSTELL RD STE 3, AUSTELL, GA 30106-2007
(770) 726-2477
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
01/16/2024
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