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INTEGRATED HEALTH AND BEAUTY MEDICAL CENTER LLC NPI 1043732951


NPI Information

NPI: 1043732951
Provider Name: INTEGRATED HEALTH AND BEAUTY MEDICAL CENTER, LLC

Doing Business As: HELLER FANCY MEDSPA

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
4230 CORAL PARK DR
BRUNSWICK, GA
ZIP 31520
Phone: (912) 223-1429
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INTEGRATED HEALTH AND BEAUTY MEDICAL CENTER, LLC is a family nurse practitioner in Brunswick, GA. INTEGRATED HEALTH AND BEAUTY MEDICAL CENTER, LLC NPI is 1043732951. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heller Fancy Medspa.

The provider's business location address is:

4230 CORAL PARK DR
BRUNSWICK, GA
ZIP 31520-016
Phone: (912) 223-1429
Fax: (912) 342-7058

The provider's authorized official is Jennifer Heller .
The authorized official title is Owner and has the following contact phone number (636) 357-4234.

The enumeration date for this NPI number is 7/12/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN260355Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11235663550OTHERGEORGIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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