Organization
FRAICHE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY ANDERSON PA (CEO)
(678) 823-5699
Entity
Organization
Contact information
Practice address
59 CEDAR PT, DALLAS, GA 30132-1096
(404) 578-1204
Mailing address
59 CEDAR PT, DALLAS, GA 30132-1096
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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