Organization
WONDERFULLY MADE WELLNESS, INC.
Active
Parent organization
WONDERFULLY MADE HEALTH & FITNESS SOLUTIONS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WONDERFULLY MADE HEALTH & FITNESS SOLUTIONS, LLC
Authorized official
QURA WOODBURY MS, ACSM-HFS (EXECUTIVE DIRECTOR)
(770) 853-3216
Entity
Organization
Contact information
Practice address
464 VININGS VINTAGE CIRCLE SE, MABLETON, GA 30126
(770) 853-3216
Mailing address
464 VININGS VINTAGE CIRCLE SE, MABLETON, GA 30126
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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