Organization · Type 2 NPI
Sistah Space Women's Wellness Center, LLC
Health Service Clinic/Center · Tyrone, GA
NPI number
1184283848
Active
Practice location
130 Howell Rd
Tyrone, GA 30290-6800
Fax (470) 250-2401
Mailing address
351 Lauren Dr
Fairburn, GA 30213-7007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
About NPI 1184283848
Sistah Space Women's Wellness Center, LLC's National Provider Identifier is 1184283848, issued on Jun 6, 2019. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Tyrone, GA. The record was last updated on Feb 26, 2020.