Organization
WEST END WELL WERKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE TERRELL (OWNER)
(678) 471-4615
Entity
Organization
Contact information
Practice address
1062 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1812
(678) 471-4615
(404) 921-9233
Mailing address
1062 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1812
(678) 471-4615
(404) 921-9233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
05/23/2022
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