Seniorwell of Georgia, LLC

NPI #1629600424 in Brookhaven, Georgia

Provider Information

NPI Number: 1629600424
Entity Type: Organization
Organization Name: Seniorwell of Georgia, LLC
Primary Specialty: Optometrist
Enumeration Date: Feb 10, 2020
Last Updated: Feb 10, 2020

Practice Location

Address: 2002 SUMMIT BLVD STE 300
City: Brookhaven
State: Georgia
ZIP Code: 30319-6422
Phone: (844) 882-3127

Authorized Official

Name: JOHN MORONEY
Title: CEO
Phone: (844) 882-3127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Podiatrist	213E00000X
Audiologist	231H00000X
Optometrist	152W00000X	Primary

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