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Contact Information

NORTHEAST GEORGIA WELLNESS ASSOCIATES, LLC
1197 CEDAR SHOALS DRIVE #103
ATHENS, GA30605
 Phone: 706-296-1572
 Fax: 888-884-9828
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for NORTHEAST GEORGIA WELLNESS ASSOCIATES, LLC

NPI # 1417374869
LBN Legal business name NORTHEAST GEORGIA WELLNESS ASSOCIATES, LLC
Authorized official WHITNEY BIGNELL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/24/2014
Last updated 03/24/2014 - About 12 years ago
Identifiers
GA License # LD003881
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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