Organization
EIGHTY HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA THOMAS FNP (CEO)
(678) 200-4785
Entity
Organization
Contact information
Practice address
483 UPPER RIVERDALE RD SW STE G, RIVERDALE, GA 30274-2579
(678) 200-4785
Mailing address
4850 SUGARLOAF PKWY STE 200, LAWRENCEVILLE, GA 30044-2859
(678) 200-4785
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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