Organization
CRELVIS, INC.
Active
Other names
Lawrenceville Therapy and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA ELVIS (PRESIDENT)
(770) 378-6666
Entity
Organization
Contact information
Practice address
271-A S CULVER ST, LAWRENCEVILLE, GA 30045-4805
(770) 676-6383
Mailing address
647 REBECCA ST, LAWRENCEVILLE, GA 30045-7475
(770) 378-6666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT004268
GA
Other
Enumeration date
04/02/2007
Last updated
08/22/2009
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