Organization
HEALTHIE COMMUNITY CENTER LLC
Active
Other names
HealtHIE Community Center of Baxley
Organization subpart
No
Provider details
NPI number
Authorized official
KNIOLE LEE DNP (EXECUTIVE DIRECTOR)
(912) 278-0410
Entity
Organization
Contact information
Practice address
821 S MAIN ST, BAXLEY, GA 31513-0164
(912) 366-9371
Mailing address
821 S MAIN ST, BAXLEY, GA 31513-0164
(912) 366-9371
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332370125G
—
GA
Enumeration date
02/26/2020
Last updated
08/04/2025
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