Healthcare Provider Details

I. General information

NPI: 1134048465
Provider Name (Legal Business Name): NEO WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 MORELAND AVE SE STE 103
ATLANTA GA
30316-3127
US

IV. Provider business mailing address

1747 BOULDER WALK LN SE
ATLANTA GA
30316-3990
US

V. Phone/Fax

Practice location:
  • Phone: 404-478-7807
  • Fax: 404-738-2742
Mailing address:
  • Phone: 404-478-7807
  • Fax: 404-738-2742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. LATONIA MICHELLE TRAWICK
Title or Position: NURSE PRACTITIONER
Credential: DNP FNP
Phone: 404-423-8158