Organization
FAMILY HEALTH & WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIAMA DIALLO AGACNP-BC (OWNER)
(678) 541-1187
Entity
Organization
Contact information
Practice address
245 PARK HAVEN LN, TYRONE, GA 30290-1719
(678) 541-1187
Mailing address
245 PARK HAVEN LN, TYRONE, GA 30290-1719
(678) 541-1187
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
03/27/2024
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