Healthcare Provider Details

I. General information

NPI: 1265289953
Provider Name (Legal Business Name): HOWGANICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4228 1ST AVE STE 1
TUCKER GA
30084-4426
US

IV. Provider business mailing address

4228 1ST AVE STE 1
TUCKER GA
30084-4426
US

V. Phone/Fax

Practice location:
  • Phone: 888-794-1441
  • Fax: 678-731-1615
Mailing address:
  • Phone: 888-794-1441
  • Fax: 678-731-1615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: YVANNE JEAN-OBEI
Title or Position: OWNER
Credential: FNP, MSN, DNP-BC
Phone: 770-780-9053