Healthcare Provider Details

I. General information

NPI: 1609700806
Provider Name (Legal Business Name): ESSENCE OF HEALTH WELLNESS CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 CARPENTER DR STE 300
SANDY SPRINGS GA
30328-4911
US

IV. Provider business mailing address

275 CARPENTER DR STE 300
SANDY SPRINGS GA
30328-4911
US

V. Phone/Fax

Practice location:
  • Phone: 404-857-0340
  • Fax: 423-845-9602
Mailing address:
  • Phone: 404-857-0340
  • Fax: 423-845-9602

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: DR. SHAYLA TOOMBS-WITHERS
Title or Position: CHIEF MEDICAL OFFICER
Credential: DO
Phone: 404-857-0340