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Organization

SIMPLE FAITH WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KESHA CHANEL PALMER LD (LICENSED DIETITIAN)
(757) 652-6488
Entity
Organization

Contact information

Practice address
1711 WATFORD GLN, LAWRENCEVILLE, GA 30043-3078
(757) 652-6488
Mailing address
2296 HENDERSON MILL RD NE STE 116, ATLANTA, GA 30345-2739
(757) 652-6488

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
06/03/2026
Last updated
06/03/2026
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