Organization
DEYOE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE FORDHAM (PRACTICE MANAGER)
(678) 982-7714
Entity
Organization
Contact information
Practice address
47 COMMERCE DR STE 1B, BLAIRSVILLE, GA 30512-8929
(678) 982-7714
(706) 664-0421
Mailing address
37 FAWN RIDGE TRL, RABUN GAP, GA 30568-2825
(678) 982-7714
(706) 664-0421
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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