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Organization
HEATHER IVY SOCIETY
Active
Organization
HEATHER IVY SOCIETY
Active
Parent organization
HEATHER IVY SOCIETY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEATHER IVY SOCIETY
Authorized official
ZANDRAETTA TIMS COOK (EXECUTIVE DIRECTOR)
(615) 305-9006
Entity
Organization
Contact information
Practice address
2193 CASCADE RD SW, ATLANTA, GA 30311-2862
(844) 884-9691
(404) 907-4052
Mailing address
2193 CASCADE RD SW, ATLANTA, GA 30311-2862
(844) 884-9691
(404) 907-4052
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/26/2026
Last updated
08/26/2026
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