NPI | 1801151410 |
---|---|
Doing Business As | WELLSPA |
Entity Type | Organization |
Authorized Contact | MARYANN WILSON Director 770-948-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 104100000X Social Worker |
225700000X Massage Therapist | |
261QM1300X Clinic/Center Multi-Specialty | |
Enumeration Date | 2012-07-10 |
Last Update Date | 2024-07-01 |