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Contact Information

HEAL THYSELF LLC
3698 INNER PERIMETER RD STE 3603
VALDOSTA, GA31602-1047
 Phone: 229-539-3710
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for HEAL THYSELF LLC

NPI # 1770178162
LBN Legal business name HEAL THYSELF LLC
Authorized official SHERRELL ECHOLS - (MS.)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2021
Last updated 03/08/2021 - About 5 years ago
Identifiers
GA Medicaid 11-790-2611
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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