Organization
WISTERIA WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLORA DENISE COX M.D. (MEDICAL DIRECTOR)
(770) 979-0074
Entity
Organization
Contact information
Practice address
2336 WISTERIA DR STE 410, SNELLVILLE, GA 30078-6160
(770) 979-0074
(770) 979-8305
Mailing address
2336 WISTERIA DR STE 410, SNELLVILLE, GA 30078-6160
(770) 979-0074
(770) 979-8305
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
GA
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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