# ADVANCED HEALTH WELLNESS & REHAB

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

## Provider details

- **NPI number:** 1861802985
- **Authorized official:** KEESHA SPIVA (OWNER)
- **Authorized official phone:** (678) 938-7542

## Contact information

- **Practice address:** 1867 LAWRENCEVILLE HWY, DECATUR, GA 30033-5729
- **Practice address phone:** (404) 600-5624
- **Mailing address:** 1867 LAWRENCEVILLE HWY, DECATUR, GA 30033-5729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | GA | Yes |

## Other

- **Enumeration date:** 04/28/2014
- **Last updated:** 04/28/2014