Organization
SOZO CENTERS FOR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFOLARIN BANJOKO MD (OWNER / PROVIDER)
(912) 445-5456
Entity
Organization
Contact information
Practice address
508 N MAIN ST STE C, HINESVILLE, GA 31313-2570
(912) 330-4372
(844) 848-5854
Mailing address
508 N MAIN ST STE C, HINESVILLE, GA 31313-2570
(912) 330-4372
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/14/2021
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