TRIDENT PRIMARY CARE & WELLNESS CLINIC LLC

ROSWELL, GA
NPI1760262463
Entity TypeOrganization
Authorized ContactRODERICK MALONE
Managing Member
678-478-8077
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2023-10-02
Last Update Date2024-02-07
Business Address
TRIDENT PRIMARY CARE & WELLNESS CLINIC LLC
875 OLD ROSWELL RD BLDG C, SUITE C-200
ROSWELL, GA 30076-1659
Phone number: 678-731-7000
Mailing Address
TRIDENT PRIMARY CARE & WELLNESS CLINIC LLC
6503 GRAND HICKORY DR
BRASELTON, GA 30517-6240
Phone number: 678-478-8077
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