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Contact Information

ALIVE HEALTH AND WELLNESS LLC
377 W PIKE ST STE A3
LAWRENCEVILLE, GA30046-3206
 Phone: 470-523-5570
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Clinical & Laboratory Immunology

207RI0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ALIVE HEALTH AND WELLNESS LLC

NPI Number 1053011452
LBN Legal business name ALIVE HEALTH AND WELLNESS LLC
Authorized official ESTHER GENSINGER - (OWNER/AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2023
Last updated 03/24/2023 - About 3 years 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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