Organization
BWELL4EVER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE GEREN RN (OWNER)
(423) 531-9355
Entity
Organization
Contact information
Practice address
1447 VANCE RD STE 106, CHATTANOOGA, TN 37421-3665
(423) 531-9355
(423) 531-9356
Mailing address
7476 NASHVILLE ST, RINGGOLD, GA 30736-2358
(706) 935-3055
(706) 935-3056
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
621999
GA
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
12/16/2024
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