Individual
TREVIS GULLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3409 ESTELLE ST, HAPEVILLE, GA 30354-1402
(404) 849-5973
Mailing address
685 GRADY PL SW, ATLANTA, GA 30310-2615
(404) 849-5973
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
210650
GA
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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