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Contact Information

PLATINUM WELLNESS RETREAT & SPA
1990 OLD PARKER RD SE
CONYERS, GA30094-6239
 Phone: 404-710-7133
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PLATINUM WELLNESS RETREAT SPA · (Female)

NPI Number 1740173764
Status Active
Credentials
Entity Individual
Enumeration date 05/29/2025
Last updated 05/29/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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