Organization
EVERGREEN WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HOSEA RN (OWNER)
(678) 791-2408
Entity
Organization
Contact information
Practice address
13800 BETHANY OAKS POINTE, ALPHARETTA, GA 30004-4319
(678) 761-2408
Mailing address
13800 BETHANY OAKS POINTE, ALPHARETTA, GA 30004-4319
(678) 761-2408
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/31/2021
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