Waterworksnow, Incorporated
Waterworksnow, Incorporated is a Health Service Clinic/Center in Stone Mountain, Georgia. Licensed in Georgia. Registered with an NPI since 2017.
- Licensed in
- GA
- In the registry since
- 2017
- Specialties on file
- 4
Practice location Address checks out
1525 E Park Place Blvd Ste 1800Stone Mountain, GA 30087-3453
Phone: (678) 558-6767
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X · Licence 48419 (GA) |
|---|---|
| Medical Specialty Clinic/Center | Taxonomy 261QM2500X · Licence 48419 (GA) |
| Physical Therapy Clinic/Center | Taxonomy 261QP2000X · Licence 48419 (GA) |
| Research Clinic/Center | Taxonomy 261QR1100X · Licence 48419 (GA) |
Record details
| NPI number | 1972036978 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cynthia Goodman — Ceo/President · 67855886767 |
| NPI enumerated | April 6, 2017 |
| Last updated in NPPES | April 6, 2017 |
| Mailing address | Po Box 370354, Decatur, GA 30037-0354 |
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