Organization
WELLNESS FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHIOMA OKEREKE MSN-NPC (FNP)
(678) 213-3137
Entity
Organization
Contact information
Practice address
2317 AUSTELL RD SW, MARIETTA, GA 30008-4537
(678) 213-3137
(678) 213-3139
Mailing address
2317 AUSTELL RD SW, MARIETTA, GA 30008-4537
(678) 213-3137
(678) 213-3139
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RN113110NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
931772211B
—
GA
Enumeration date
05/08/2008
Last updated
05/08/2008
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