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Organization

HUMAN WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY HUMAN D.O. (CHIEF MEDICAL OFFICER)
(678) 404-9585
Entity
Organization

Contact information

Practice address
892 COOPER WAY, LAWRENCEVILLE, GA 30046-6101
(678) 689-5200
Mailing address
892 COOPER WAY, LAWRENCEVILLE, GA 30046-6101

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
056072
GA

Other

Enumeration date
01/27/2012
Last updated
01/27/2012
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