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Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAINEA WILLIAMS (CEO)
(404) 913-9709
Entity
Organization

Contact information

Practice address
6595 ROSWELL ROAD, STE G PMB5332, ATLANTA, GA 30328-3152
(404) 913-9709
Mailing address
6595 ROSWELL ROAD, STE G PMB5332, ATLANTA, GA 30328-3152
(404) 913-9709

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
111N00000X
Chiropractor
111NN1001X
Nutrition Chiropractor
111NP0017X
Pediatric Chiropractor
133NN1002X
Nutrition Education Nutritionist
172V00000X
Community Health Worker
222Q00000X
Developmental Therapist
374U00000X
Home Health Aide

Other

Enumeration date
05/08/2026
Last updated
05/08/2026
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