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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

NPI Number 1740173764
LBN Legal business name PLATINUM WELLNESS RETREAT & SPA
Authorized official REBECCA DAVIS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/29/2025
Last updated 05/29/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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