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Organization

IMPERIAL LILLY HOLISTIC HEALTH

Active
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Organization

IMPERIAL LILLY HOLISTIC HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LILLIAN MUGWEDE (OWNER)
(678) 458-7080
Entity
Organization

Contact information

Practice address
2724 WESLEY CHAPEL RD UNIT 360326, DECATUR, GA 30036-2396
(678) 458-7080
Mailing address
2724 WESLEY CHAPEL RD UNIT 360326, DECATUR, GA 30036-2396

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
02/18/2025
Last updated
02/18/2025
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