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1164148755
ANNUAL MEDICARE WELLNESS EXAMS
LAWRENCEVILLE, GA
NPI
1164148755
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Entity Type
Organization
Authorized Contact
ANTONIA HARRIS
Owner
706-761-6553
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2022-10-14
Last Update Date
2022-11-11
Business Address
ANNUAL MEDICARE WELLNESS EXAMS
1880 BRASELTON HWY STE 118
LAWRENCEVILLE, GA 30043-2877
Phone number: 706-761-6553
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Mailing Address
ANNUAL MEDICARE WELLNESS EXAMS
1025 CAMPBELL PINE TRL
LAWRENCEVILLE, GA 30045-4306
Phone number: 706-761-6553
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