MEDICARE: NANJUWETTE EDWARDS CFNC, BCHHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath

General Provider Information

NPI Number	:	1447192752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANJUWETTE EDWARDS CFNC, BCHHP

Provider Business Mailing Address
First Line	:	910 ATHENS HWY STE 305
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-4952
Country	:	US
Telephone Number	:	917-841-1847
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 ATHENS HWY STE 305
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-4952
Country	:	US
Telephone Number	:	917-841-1847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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