Organization · Type 2 NPI
The Fraternity Men's Health and Wellness
Health Service Clinic/Center · Marietta, GA
NPI number
1013809482
Active
Practice location
540 Powder Springs St Ste B8
Marietta, GA 30064-3560
Fax (949) 864-3686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Health Service Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1013809482
The Fraternity Men's Health and Wellness's National Provider Identifier is 1013809482, issued on Jul 18, 2025. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Marietta, GA. The record was last updated on Aug 14, 2025.