Healthcare Provider Details

I. General information

NPI: 1710784616
Provider Name (Legal Business Name): MGS WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 SATELLITE BLVD STE 400
DULUTH GA
30097-4927
US

IV. Provider business mailing address

2180 SATELLITE BLVD STE 400
DULUTH GA
30097-4927
US

V. Phone/Fax

Practice location:
  • Phone: 404-941-4776
  • Fax:
Mailing address:
  • Phone: 404-941-4776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARSHAUNA SAGESSE
Title or Position: OWNER/PHARMACIST
Credential: PHARMD
Phone: 404-941-4776