Organization
PRIMERA HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAILESH SUSHIL KOTHARI DC (CEO)
(678) 904-7564
Entity
Organization
Contact information
Practice address
3060 PEACHTREE RD NW, SUITE 965, ATLANTA, GA 30305-2234
(678) 904-7564
Mailing address
3060 PEACHTREE RD NW, SUITE 965, ATLANTA, GA 30305-2234
(678) 904-7564
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4838
GA
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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