Physical Wellness Group, LLC

NPI #1487041745 in Decatur, Georgia

Provider Information

NPI Number: 1487041745
Entity Type: Organization
Organization Name: Physical Wellness Group, LLC
Primary Specialty: Specialist
Enumeration Date: Apr 23, 2015
Last Updated: Apr 23, 2015

Practice Location

Address: 4153 FLAT SHOALS PKWY
Address 2: BLDG A
City: Decatur
State: Georgia
ZIP Code: 30034-4106
Phone: (888) 683-2304

Authorized Official

Name: HARVEY B LESLIE, M.D.
Title: CEO
Phone: (888) 683-2304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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