Healthcare Provider Details

I. General information

NPI: 1952860496
Provider Name (Legal Business Name): HEALTH WEALTH SAFE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2019
Last Update Date: 03/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 PRINCE AVE
ATHENS GA
30606-6032
US

IV. Provider business mailing address

2005 PRINCE AVE
ATHENS GA
30606-6032
US

V. Phone/Fax

Practice location:
  • Phone: 706-208-9700
  • Fax: 706-208-0878
Mailing address:
  • Phone: 706-208-9700
  • Fax: 706-208-0878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SUBODH K AGRAWAL
Title or Position: CEO/OWNER
Credential: MD
Phone: 706-208-9700