Organization
STOCKBRIDGE HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BRASWELL (OWNER)
(404) 630-1582
Entity
Organization
Contact information
Practice address
175 COUNTRY CLUB DR, BLDG 300C, STOCKBRIDGE, GA 30281-9054
(404) 630-1582
(770) 745-8797
Mailing address
175 COUNTRY CLUB DR, BLDG 300C, STOCKBRIDGE, GA 30281-9054
(404) 630-1582
(770) 745-8797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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