Organization
EDIBLE HEALTH & WELLNESS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CIERRA NICOLE WILLIAMS FNP (NURSE PRACTITIONER)
(470) 295-9981
Entity
Organization
Contact information
Practice address
90F GLENDA TRACE PMB 318, NEWNAN, GA 30265
(470) 295-9981
Mailing address
90F GLENDA TRACE PMB 318, NEWNAN, GA 30265
(470) 295-9981
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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