Well Woman LLC

NPI #1659602126 in Austell, Georgia

Provider Information

NPI Number: 1659602126
Entity Type: Organization
Organization Name: Well Woman LLC
Primary Specialty: Physician Assistant
Enumeration Date: Jan 23, 2010
Last Updated: Jan 23, 2010

Practice Location

Address: 769 KNOX SPRINGS RD
City: Austell
State: Georgia
ZIP Code: 30168-6313
Phone: (678) 463-0253

Authorized Official

Name: MRS. MARKEITA MCINTOSH, PA
Title: OWNER
Phone: (678) 463-0253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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