Lotus Family Wellness Clinic, LLC

NPI #1013497171 in Riverdale, Georgia

Provider Information

NPI Number: 1013497171
Entity Type: Organization
Organization Name: Lotus Family Wellness Clinic, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Aug 17, 2018
Last Updated: Aug 17, 2018

Practice Location

Address: 1240 HIGHWAY 138 SW
City: Riverdale
State: Georgia
ZIP Code: 30296-1402
Phone: (404) 668-1827

Authorized Official

Name: QIANA AIDAH JOHNSON, DNP, FNP-C
Title: OWNER/FAMILY NURSE PRACTITIONER
Phone: (404) 668-1827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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