OPULENT WELLNESS LLC NPI 1144545922

NPI Information

NPI: 1144545922
Provider Name: OPULENT WELLNESS LLC

Doing Business As: OPULENT WELLNESS

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
2221 PEACHTREE RD NE
STE. P33
ATLANTA, GA
ZIP 30309
Phone: (404) 955-1000
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OPULENT WELLNESS LLC is a pain clinic center in Atlanta, GA. OPULENT WELLNESS LLC NPI is 1144545922. The provider is registered as an organization entity type.
The provider Is Doing Business As Opulent Wellness.

The provider's business location address is:

2221 PEACHTREE RD NE
STE. P33
ATLANTA, GA
ZIP 30309-148
Phone: (404) 955-1000

The provider's authorized official is Keisha Monique Gwinn .
The authorized official title is Owner and has the following contact phone number (404) 955-1000.

The enumeration date for this NPI number is 4/5/2010 and was last updated on 4/5/2010.

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
1	261QP3300X	Clinic/Center	Pain	MT004320	GEORGIA	Yes

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

NPI Synchronization or Removal

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