Organization
JC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOVITA ANYANWU PMHNP (OWNER)
(470) 414-0554
Entity
Organization
Contact information
Practice address
903 PAVILION CT STE D, MCDONOUGH, GA 30253-6672
(470) 414-0554
Mailing address
903 PAVILION CT STE D, MCDONOUGH, GA 30253-6672
(470) 414-0554
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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