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1730665365
LIVEWELL HEALTH SERVICES
DACULA, GA
NPI
1730665365
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Entity Type
Organization
Authorized Contact
BERTRAM PROSSER
Owner
678-689-6880
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 75651)
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
LIVEWELL HEALTH SERVICES
1250B AUBURN RD STE 202
DACULA, GA 30019-5433
Phone number: 678-689-6888
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Mailing Address
LIVEWELL HEALTH SERVICES
1250B AUBURN RD STE 202
DACULA, GA 30019-5433
Phone number: 678-689-6888
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