National Provider Identifier Database

ADVANCED PRACTICE HEALTH AND WELLNESS
Family


Contact Information

ADVANCED PRACTICE HEALTH AND WELLNESS
3800 CAMP CREEK PKWY SW BLDG 1400-116
ATLANTA, GA30331-6045
Phone: 229-296-4502
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ADVANCED PRACTICE HEALTH AND WELLNESS

NPI Number 1851068134
Legal business name
LBN
ADVANCED PRACTICE HEALTH AND WELLNESS
Authorized official ENIKA MCCLAIN - (NURSE PRACTITIONER)
Entity Organization
Organization subpart No
Enumeration date 08/25/2021
Last updated 08/25/2021 - About 5 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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