Healthcare Provider Details

I. General information

NPI: 1457283558
Provider Name (Legal Business Name): PURELEE HEALTH & WELLNESS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PL STE R
SANDY SPRINGS GA
30350-2995
US

IV. Provider business mailing address

575 PHARR RD NE UNIT 550971
ATLANTA GA
30355-5038
US

V. Phone/Fax

Practice location:
  • Phone: 470-962-7252
  • Fax: 404-595-5026
Mailing address:
  • Phone: 470-962-7252
  • Fax: 404-595-5026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CINDY ODEN
Title or Position: NP
Credential: NP
Phone: 470-962-7252