Organization
APRN MOBILE CLINIC LLC
Active
Other names
Heart and Sole Wellness Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PASTELLE WALSTON NP (OWNER PROVIDER)
(762) 333-2705
Entity
Organization
Contact information
Practice address
1361 HIGHWOODS PASS, GROVETOWN, GA 30813-3994
(706) 267-1663
(706) 510-0423
Mailing address
1361 HIGHWOODS PASS, GROVETOWN, GA 30813-3994
(762) 333-2705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/08/2020
Last updated
01/16/2026
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