Healthcare Provider Details

I. General information

NPI: 1922745652
Provider Name (Legal Business Name): HEALING FAVOR NUTRITION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2022
Last Update Date: 05/15/2022
Certification Date: 05/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 SCENIC HWY S STE 203
SNELLVILLE GA
30078-3115
US

IV. Provider business mailing address

2330 SCENIC HWY S STE 203
SNELLVILLE GA
30078-3115
US

V. Phone/Fax

Practice location:
  • Phone: 770-881-8651
  • Fax:
Mailing address:
  • Phone: 770-881-8651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MERCY AREMU
Title or Position: OWNER
Credential: RD, LD
Phone: 770-881-8651