Organization
TIA HEALTH AND WELLNESS CENTER LLC
Active
Other names
Tia Hydrate
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALTHEA A BRYAN NURSE PRACTITIONER (CEO)
(770) 562-7948
Entity
Organization
Contact information
Practice address
3772 CHEROKEE ST NW, KENNESAW, GA 30144-2080
(770) 562-7948
Mailing address
198 ROTHERHITHE LN NW, MARIETTA, GA 30066-3491
(770) 562-7948
(770) 691-4046
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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