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NPI Code Detail

MEDICARE: ANWAN WELLNESS MEDICAL CENTER PC

MEDICARE: ANWAN WELLNESS MEDICAL CENTER PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1497842777
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANWAN WELLNESS MEDICAL CENTER PC
Provider Business Mailing Address
First Line : 4514 CHAMBLEE DUNWOODY RD
Second Line : STE. 328
City : ATLANTA
State : GA
Zip : 30338-6202
Country : US
Telephone Number : 770-685-7879
Fax Number :
Provider Business Practice Location Address
First Line : 725 N CENTRAL AVE
Second Line :
City : HAPEVILLE
State : GA
Zip : 30354-1935
Country : US
Telephone Number : 404-761-2766
Fax Number :
Authorized Official
Title or Position : PRESIDENT/MEDICAL DIRECTOR
Name : DR. DONOVAN WAYNE CHRISTIE SR.
Credential : M.D.
Telephone Number : 404-761-2766
Provider Enumeration Date : 10/06/2006
Last Update Date : 12/29/2022

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Directions to “ANWAN WELLNESS MEDICAL CENTER PC ” Practice Location

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