Organization
AWAKEN,INSPIRE,RESTORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHINEA BERNADIN DO (OWNER)
(904) 803-2445
Entity
Organization
Contact information
Practice address
1111 HIGHWAY 34 E, NEWNAN, GA 30265-2182
(770) 809-1100
Mailing address
140 ASTRAL CT, FAYETTEVILLE, GA 30214-2595
(904) 803-2445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/29/2025
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