Organization
INDEPENDENTLY HEALTHY WELLNESS & COACHING LLC
Active
Other names
Independently Healthy Wellness & Coaching LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA KOLOMITSEVA (CEO AND OWNER)
(678) 787-9142
Entity
Organization
Contact information
Practice address
5690 HENDRIX RD, CUMMING, GA 30040-3832
(470) 344-3934
Mailing address
5690 HENDRIX RD, CUMMING, GA 30040-3832
(470) 344-3934
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962165498
—
GA
Enumeration date
10/21/2021
Last updated
10/22/2021
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