Provider Demographics
NPI:1003258500
Name:STRONG HEALTHCARE AND WELLNESS LLC
Entity Type:Organization
Organization Name:STRONG HEALTHCARE AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-953-0060
Mailing Address - Street 1:1711 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-4115
Mailing Address - Country:US
Mailing Address - Phone:404-835-2891
Mailing Address - Fax:404-835-2899
Practice Address - Street 1:1711 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-4115
Practice Address - Country:US
Practice Address - Phone:404-835-2891
Practice Address - Fax:404-835-2899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care