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Organization

ALPHA NUTRITION & WELLNESS CENTER, LLC

Active
Other names
Alpha Consulting & Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VERONICA ORIAKO OKWOCHE-WELSH PH.D (DIRECTOR)
(800) 634-1843
Entity
Organization

Contact information

Practice address
5 OLD ROSWELL ST, ALPHARETTA, GA 30009-7907
(800) 634-1843
(678) 701-5604
Mailing address
5 OLD ROSWELL ST, ALPHARETTA, GA 30009-7907
(800) 634-1843
(678) 701-5604

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
11D2005794
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11D2005794
CLIA
GA
Enumeration date
03/09/2011
Last updated
12/01/2011
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