Organization
CIRCLE SQUARED PROMOTION
Active
Organization
CIRCLE SQUARED PROMOTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDUL WANYE HAWKINS (PHYSICAL FITNESSTRAINER)
(678) 788-3646
Entity
Organization
Contact information
Practice address
555 WHITEHALL ST SW STE O, ATLANTA, GA 30303-3715
(678) 788-3646
Mailing address
PO BOX 1094, CONLEY, GA 30288-7000
(678) 788-3646
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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