National Provider Identifier Database

EDIBLE HEALTH WELLNESSLLC
Health Service


Contact Information

EDIBLE HEALTH & WELLNESS,LLC
90F GLENDA TRACE PMB 318
NEWNAN, GA30265
Phone: 470-295-9981
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for EDIBLE HEALTH & WELLNESS,LLC

NPI Number 1497289748
Legal business name
LBN
EDIBLE HEALTH & WELLNESS,LLC
Authorized official CIERRA WILLIAMS - (NURSE PRACTITIONER)
Entity Organization
Organization subpart No
Enumeration date 04/13/2017
Last updated 04/13/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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