NPI 1336447754

Alpha Nutrition & Wellness Center, LLC

Organisation Physiological Laboratory Alpharetta, GA

Practice location

Address: 5 Old Roswell St, Alpharetta, GA 30009-7907
Phone: (800) 634-1843
Fax: (678) 701-5604

Authorised official

Name: Veronica Oriako Okwoche-Welsh
Title: Director
Phone: (800) 634-1843

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence 11D2005794 (GA)

Other Physiological Laboratory providers in Georgia →

Registry record

NPI: 1336447754
Entity type: Organization
NPI issued: 9 Mar 2011
Record last updated: 1 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.