Organization
ADVANCED HEALTH WELLNESS & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEESHA SPIVA (OWNER)
(678) 938-7542
Entity
Organization
Contact information
Practice address
1867 LAWRENCEVILLE HWY, DECATUR, GA 30033-5729
(404) 600-5624
Mailing address
1867 LAWRENCEVILLE HWY, DECATUR, GA 30033-5729
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
GA
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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