Organization
BASIC WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON GOETTIG MASSAGE THERAPIST (PRESIDENT)
(706) 543-5755
Entity
Organization
Contact information
Practice address
1190 PRINCE AVE, LOWR B, ATHENS, GA 30606-2769
(706) 208-7386
Mailing address
1190 PRINCE AVE LOWR B, ATHENS, GA 30606-2769
(706) 208-7386
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/05/2008
Last updated
08/15/2012
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