Organization · Type 2 NPI

Legacy Health and Wellness LLC

Health Service Clinic/Center · Conyers, GA

NPI number 1467073189 Active

Practice location

1775 Parker Rd SE Ste 210
Conyers, GA 30094-6654

Specialties and licenses

Taxonomy	Code	License
Case Management Registered Nurse	163WC0400X	None listed
General Practice Registered Nurse	163WG0000X	None listed
Community Health Clinic/Center	261QC1500X	None listed
Health Service Clinic/Center Primary	261QH0100X	None listed

Health Service Clinic/Center: Definition to come...

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About NPI 1467073189

Legacy Health and Wellness LLC's National Provider Identifier is 1467073189, issued on May 5, 2020. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Conyers, GA. The record was last updated on May 5, 2020.