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Organization
ALIVE HEALTH AND WELLNESS LLC
Active
Organization
ALIVE HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER SWEETHEART GENSINGER FNP (OWNER/AUTHORIZED OFFICIAL)
(470) 523-5570
Entity
Organization
Contact information
Practice address
377 W PIKE ST STE A3, LAWRENCEVILLE, GA 30046-3206
(470) 523-5570
Mailing address
377 W PIKE ST STE A3, LAWRENCEVILLE, GA 30046-3206
(470) 523-5570
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
NULL
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/24/2023
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