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Contact Information

ALIVE HEALTH AND WELLNESS LLC
377 W PIKE ST STE A3
LAWRENCEVILLE, GA30046-3206
 Phone: 470-523-5570
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Clinical & Laboratory Immunology

207RI0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ALIVE HEALTH AND WELLNESS LLC · (Female)

NPI # 1053011452
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2023
Last updated 03/24/2023 - About 3 years 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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