# BWELL4EVER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043688138
- **Authorized official:** MARLENE GEREN RN (OWNER)
- **Authorized official phone:** (423) 531-9355

## Contact information

- **Practice address:** 1447 VANCE RD STE 106, CHATTANOOGA, TN 37421-3665
- **Practice address phone:** (423) 531-9355
- **Practice address fax:** (423) 531-9356
- **Mailing address:** 7476 NASHVILLE ST, RINGGOLD, GA 30736-2358
- **Mailing address phone:** (706) 935-3055
- **Mailing address fax:** (706) 935-3056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | 621999 | GA | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2015
- **Last updated:** 12/16/2024