Organization
PREMIER HEALTH AND WELLNESS MANAGEMENT, LLC
Active
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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