Organization
ESSENTIAL WELLNESS 360, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERENDA ANYA WILBORN RN (FOUNDER/CEO)
(678) 524-7265
Entity
Organization
Contact information
Practice address
1281 MADO LOOP, PALMETTO, GA 30268-2465
(404) 977-2599
Mailing address
10536 SERENBE LN, PALMETTO, GA 30268-2290
(678) 524-7265
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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