Organization
PREMIER HEALTH AND WELLNESS MANAGEMENT, LLC
Active
Other names
Premier Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELINIA J. WEAVER (MEMBER/MANGER)
(770) 933-0213
Entity
Organization
Contact information
Practice address
1830 WATER PL SE, SUITE #295, ATLANTA, GA 30339-7407
(770) 933-0213
Mailing address
1415 HIGHWAY 85 N, SUITE #295, FAYETTEVILLE, GA 30214-7738
(770) 933-0213
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
12/30/2009
Last updated
01/14/2010
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