Organization
HEALTHIE COMMUNITY CENTER LLC
Active
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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