Organization
TADDA'S TOTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA EILEEN LEWIS RN (OWNER)
(404) 667-0171
Entity
Organization
Contact information
Practice address
2615 PARK CENTRAL BLVD, DECATUR, GA 30035-3907
(404) 667-0171
Mailing address
2615 PARK CENTRAL BLVD, DECATUR, GA 30035-3907
(404) 667-0171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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