Organization
LINK WELLNESS CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEFYLON VELVETTE CAMERON D.C. (CLINIC DIRECTOR)
(404) 325-1234
Entity
Organization
Contact information
Practice address
1989 N WILLIAMSBURG DR, SUITE F, DECATUR, GA 30033-5998
(404) 325-1234
(404) 325-5678
Mailing address
1989 N WILLIAMSBURG DR, SUITE F, DECATUR, GA 30033-5998
(404) 325-1234
(404) 325-5678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6687580001
DME PTAN
GA
Enumeration date
02/15/2012
Last updated
06/13/2013
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