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General NPI Number Information
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NPI Number | 1649772880
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Entity Type | Organization
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Legal Business Name | TRUE WELLNESS LLC
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Dates
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Enumeration Date | 03/04/2018
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 395 RIVERBEND DR
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City | MCDONOUGH
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State | GA
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Zip | 30252-4108
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Country | US
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Telephone | 470-485-1462
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Fax |
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Provider Business Mailing Address
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Address Line | 395 RIVERBEND DR
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City | MCDONOUGH
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State | GA
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Zip | 30252-4108
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Country | US
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Telephone | 470-485-1462
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MS. DESHAWNDA GARNETT
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Credential | FNP-C
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Telephone | 404-312-3984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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