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General NPI Number Information
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NPI Number | 1336032838
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Entity Type | Organization
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Legal Business Name | HEALING HANDS PRIMARY HEALTHCARE, LLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1276 MCCONNELL DR STE C
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City | DECATUR
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State | GA
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Zip | 30033-3506
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Country | US
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Telephone | 678-699-8435
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Fax |
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Provider Business Mailing Address
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Address Line | 1276 MCCONNELL DR STE C
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City | DECATUR
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State | GA
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Zip | 30033-3506
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Country | US
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Telephone | 678-699-8435
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC NURSE PRACTITIONER
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Name | MRS. GAYLA L WOODSON
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Credential | CPNP
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Telephone | 678-699-8435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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