Livewell Health Services

NPI #1730665365 in Dacula, Georgia

Provider Information

NPI Number: 1730665365
Entity Type: Organization
Organization Name: Livewell Health Services
Primary Specialty: Family Medicine
Enumeration Date: Jul 17, 2018
Last Updated: Jul 17, 2018

Practice Location

Address: 1250B AUBURN RD STE 202
City: Dacula
State: Georgia
ZIP Code: 30019-5433
Phone: (678) 689-6888

Authorized Official

Name: BERTRAM PROSSER
Title: OWNER
Phone: (678) 689-6880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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