Organization
CENTER FOR WELLNESS AND PREVENTATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN H. ROSS (PRACTICE MANAGER)
(912) 352-1234
Entity
Organization
Contact information
Practice address
3 JOHNSTON STREET, SUITE A, SAVANNAH, GA 31405
(912) 352-1234
(912) 352-0492
Mailing address
3 JOHNSTON STREET, SUITE A, SAVANNAH, GA 31405
(912) 352-1234
(912) 352-0492
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
055437
GA
Other
Enumeration date
04/20/2010
Last updated
07/24/2012
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