Healthcare Provider Details

I. General information

NPI: 1376450916
Provider Name (Legal Business Name): ANN ARRANTS MUGFORD NBC-HWC, IAHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 BELVEDERE DR NE
TOWNSEND GA
31331-3306
US

IV. Provider business mailing address

2480 BELVEDERE DR NE
TOWNSEND GA
31331-3306
US

V. Phone/Fax

Practice location:
  • Phone: 912-484-7011
  • Fax:
Mailing address:
  • Phone: 912-484-7011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-4042254
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: