Organization
NORCROSS WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN HEILIG (CHIEF EXECUTIVE OFFICER)
(704) 305-1430
Entity
Organization
Contact information
Practice address
3850 HOLCOMB BRIDGE RD STE 215, PEACHTREE CORNERS, GA 30092-5219
(704) 305-1430
(770) 637-5377
Mailing address
3850 HOLCOMB BRIDGE RD STE 215, PEACHTREE CORNERS, GA 30092-5219
(770) 637-5377
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66238
KAMBIZ AFLATOON, DO
GA
Enumeration date
02/02/2022
Last updated
02/16/2022
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