Organization
TIA HEALTH AND WELLNESS CENTER LLC
Active
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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