Organization
GRUV WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA BANKS NP (OWNER)
(404) 857-4788
Entity
Organization
Contact information
Practice address
1240 SIGMAN RD NW STE 103, CONYERS, GA 30012-3934
(404) 857-4788
(404) 596-6295
Mailing address
1240 SIGMAN RD NW STE 103, CONYERS, GA 30012-3934
(404) 857-4788
(404) 596-6295
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
05/27/2026
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