Organization
APPLING TOTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA NICOLE DEEN MSN, FNP-BC (FNP-BC)
(912) 387-5557
Entity
Organization
Contact information
Practice address
1745 CITY CIRCLE RD BLDG B, BAXLEY, GA 31513-7059
(912) 705-1939
Mailing address
1745 CITY CIRCLE RD BLDG B, BAXLEY, GA 31513-7059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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