Complete Wellness Diagnostic Lab, LLC
NPI #1013665355 in Conyers, Georgia
Provider Information
- NPI Number
- 1013665355
- Entity Type
- Organization
- Organization Name
- Complete Wellness Diagnostic Lab, LLC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Mar 15, 2022
- Last Updated
- Mar 15, 2022
Practice Location
Authorized Official
- Name
- CHARNIKA PORTER
- Title
- OWNER/ADMINISTRATOR
- Phone
- (678) 643-0885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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