Organization
JOINER AND LANE MIGRAINE AESTHETIC WELLNESS SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL BERRY (MANAGER)
(469) 915-4211
Entity
Organization
Contact information
Practice address
304 JANET ST STE B, VALDOSTA, GA 31602-2643
(469) 915-4211
Mailing address
304 JANET ST STE B, VALDOSTA, GA 31602-2643
(469) 915-4211
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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