| NPI | 1952343634 |
|---|---|
| Doing Business As | PATHWAY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | LIVINGSTONE AJIT RASALAM Medical Director/Owner 229-244-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 033437) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-08-01 |