Whalio Doctors

NPI 1366200651

Abundant Living Foundation, INC.

Organisation Exclusive Provider Organization Canton, GA

Practice location

Address
1558 Marietta Hwy STE 200, Canton, GA 30114-3615
Phone
(914) 275-1477
Mailing address
840 Commerce Trl, Canton, GA 30114-7572

Authorised official

Name
Evelynmarie Sabrinah Dorce
Title
Founder & Executive Director
Phone
(404) 282-8292

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X

Registry record

NPI
1366200651
Entity type
Organization
NPI issued
11 Mar 2024
Record last updated
11 Mar 2024

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.