Organization
HOLISTIC ESSENTIAL WELLNESS LLC
Active
Other names
Holistic Essential Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARAH A FATANI MD (CLINICAL DIRECTOR)
(678) 505-1069
Entity
Organization
Contact information
Practice address
5415 SUGARLOAF PKWY STE 1108, #5853, LAWRENCEVILLE, GA 30043
(678) 505-1069
Mailing address
5415 SUGARLOAF PKWY STE 1108, #5853, LAWRENCEVILLE, GA 30043
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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