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1144593021
LIVING WELL PRIMARY CARE, LLC
FAYETTEVILLE, GA
NPI
1144593021
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Entity Type
Organization
Authorized Contact
MICHELLE JONES
Practice Administrator
803-807-9533
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2012-02-22
Last Update Date
2012-02-22
Business Address
LIVING WELL PRIMARY CARE, LLC
101 DEVANT ST SUITE 902
FAYETTEVILLE, GA 30214-2710
Phone number: 770-716-8228
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Mailing Address
LIVING WELL PRIMARY CARE, LLC
101 DEVANT ST SUITE 902
FAYETTEVILLE, GA 30214-2710
Phone number: 770-716-8228
Copy
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