Organization
INTERNAL MEDICINE & WELLNESS CENTER OF GA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAIWANNA BROWN-BOLDS MD (OWNER)
(770) 586-0017
Entity
Organization
Contact information
Practice address
4 SAVANNAH ST, WINDER, GA 30680-2480
(770) 586-0017
(770) 586-5460
Mailing address
4 SAVANNAH ST, WINDER, GA 30680-2480
(770) 586-0017
(770) 586-5460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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