LOTUS FAMILY WELLNESS CLINIC, LLC

RIVERDALE, GA
NPI1013497171
Entity TypeOrganization
Authorized ContactQIANA AIDAH JOHNSON
Owner/Family Nurse Practitioner
404-668-1827
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2018-08-17
Last Update Date2018-08-17
Business Address
LOTUS FAMILY WELLNESS CLINIC, LLC
1240 HIGHWAY 138 SW
RIVERDALE, GA 30296-1402
Phone number: 404-668-1827
Mailing Address
LOTUS FAMILY WELLNESS CLINIC, LLC
280 BONNIE LN
FAYETTEVILLE, GA 30215-8802
Phone number: 404-668-1827
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