Organization
SENIORWELL OF GEORGIA, LLC
Active
Other names
SeniorWell of Georgia, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MORONEY (CEO)
(844) 882-3127
Entity
Organization
Contact information
Practice address
2002 SUMMIT BLVD STE 300, BROOKHAVEN, GA 30319-6422
(844) 882-3127
(844) 246-5877
Mailing address
2100 E LAKE COOK RD STE 1000, BUFFALO GROVE, IL 60089-1999
(844) 882-3127
(844) 246-5875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
152W00000X
Optometrist
Primary
—
—
213E00000X
Podiatrist
—
—
231H00000X
Audiologist
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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