Organization
GILA HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILA DAMAN (OWNER)
(914) 907-2837
Entity
Organization
Contact information
Practice address
1570 BEECHCLIFF DR NE, ATLANTA, GA 30329-3826
(678) 653-6238
Mailing address
1570 BEECHCLIFF DR NE, ATLANTA, GA 30329-3826
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004906
GA
Other
Enumeration date
11/06/2017
Last updated
04/08/2020
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