# TADDA'S TOTAL WELLNESS

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

## Provider details

- **NPI number:** 1659997286
- **Authorized official:** LATASHA EILEEN LEWIS RN (OWNER)
- **Authorized official phone:** (404) 667-0171

## Contact information

- **Practice address:** 2615 PARK CENTRAL BLVD, DECATUR, GA 30035-3907
- **Practice address phone:** (404) 667-0171
- **Mailing address:** 2615 PARK CENTRAL BLVD, DECATUR, GA 30035-3907
- **Mailing address phone:** (404) 667-0171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2020
- **Last updated:** 06/19/2020