Organization
BE WHOLE LLC
Active
Other names
Be Whole LLc
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE RIDGEWAY REGISTERED NURSE (OWNER)
(678) 310-9885
Entity
Organization
Contact information
Practice address
3060 MERCER UNIVERSITY DR, ATLANTA, GA 30341-4135
(678) 310-9885
Mailing address
533 WOLF PACK LN, ATLANTA, GA 30349-8895
(678) 557-0975
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
—
—
Other
Enumeration date
07/20/2024
Last updated
08/07/2024
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