NPI | 1003146143 |
---|---|
Doing Business As | NOVO TOTAL WELLNESS |
Entity Type | Organization |
Authorized Contact | CONNIE Y JEON Clinic Director 770-988-2779 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 058168) |
Enumeration Date | 2010-01-13 |
Last Update Date | 2010-01-13 |