Organization
WELLNESS RX MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELDRECA THOMAS (NURSE PRACTITIONER)
(229) 412-5666
Entity
Organization
Contact information
Practice address
1379 PLAZA AVE SW, ATLANTA, GA 30310-3742
(229) 412-5666
Mailing address
1379 PLAZA AVE SW, ATLANTA, GA 30310-3742
(229) 412-5666
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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