OrganizationInnovative Health And Wellness LlcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address295 Molly Lane, Suite 150, Woodstock, GA 30189-6508(770) 926-4646PECOS EnrollmentBased on the most recent information from CMS, provider Innovative Health And Wellness Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1760796601Provider TypeOrganizationFull NameInnovative Health And Wellness LlcSubpartNoEnumeration Date8/3/2010Last Updated9/3/2013Contact InformationPractice LocationPractice Address295 Molly Lane, Suite 150, Woodstock, GA 30189-6508Phone(770) 926-4646Fax(770) 966-8870Mailing LocationMailing Address295 Molly Ln, Suite 150, Woodstock, GA 30189-3760Phone(770) 926-4646Fax(770) 966-8870Authorized OfficialNameOrlando, David Matthew (President)Phone(770) 926-4646Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense33179GeorgiaCode111N00000XDescriptionChiropractorChiropractic ProvidersLicense5357Georgia