MEDICARE: H&H WELLNESS CLINIC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1548814031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H&H WELLNESS CLINIC

Provider Business Mailing Address
First Line	:	7000 TARA BLVD STE C
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30236-1600
Country	:	US
Telephone Number	:	770-282-6883
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 TARA BLVD STE C
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30236-1600
Country	:	US
Telephone Number	:	770-282-6883
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAVONDA L BOATWRIGHT
Credential	:	FNP
Telephone Number	:	770-282-6883

Provider Enumeration Date	:	08/01/2019
Last Update Date	:	01/26/2023

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Directions to “H&H WELLNESS CLINIC ” Practice Location

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