# EASY CARE WELLNESS LLC

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

## Provider details

- **NPI number:** 1417751306
- **Authorized official:** CHAQUITA THOMAS NP (OWNER)
- **Authorized official phone:** (334) 380-1888

## Contact information

- **Practice address:** 1050 BARBER CREEK DR BLDG 100, STE 103, WATKINSVILLE, GA 30677-4502
- **Practice address phone:** (706) 850-0170
- **Practice address fax:** (888) 355-5361
- **Mailing address:** 132 RED MAPLE DR, ATHENS, GA 30606-0886
- **Mailing address phone:** (334) 380-1888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2025
- **Last updated:** 05/21/2025
