Healthcare Provider Details

I. General information

NPI: 1073422705
Provider Name (Legal Business Name): FRANDY WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2654 WINSLOW RIDGE DR
BUFORD GA
30519-5012
US

IV. Provider business mailing address

2654 WINSLOW RIDGE DR
BUFORD GA
30519-5012
US

V. Phone/Fax

Practice location:
  • Phone: 561-503-3765
  • Fax:
Mailing address:
  • Phone: 561-503-3765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: FRANDY NELSON
Title or Position: MANAGER
Credential:
Phone: 561-503-3765