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General NPI Number Information
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NPI Number | 1134048465
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Entity Type | Organization
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Legal Business Name | NEO WELLNESS
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Dates
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Enumeration Date | 07/11/2026
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Last Update Date | 07/11/2026
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Provider Practice Location Address
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Address Line | 1341 MORELAND AVE SE STE 103
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City | ATLANTA
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State | GA
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Zip | 30316-3127
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Country | US
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Telephone | 404-478-7807
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Fax | 404-738-2742
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Provider Business Mailing Address
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Address Line | 1747 BOULDER WALK LN SE
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City | ATLANTA
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State | GA
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Zip | 30316-3990
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Country | US
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Telephone | 404-478-7807
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Fax | 404-738-2742
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. LATONIA MICHELLE TRAWICK
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Credential | DNP FNP
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Telephone | 404-423-8158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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