Organization
ELITE NATURAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRAL T HUDSON NP (OWNER)
(404) 430-3240
Entity
Organization
Contact information
Practice address
528 SUNNYLAND DR, THOMASTON, GA 30286-2433
(404) 430-3240
Mailing address
107 YATESVILLE RD, BARNESVILLE, GA 30204-3788
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
CA
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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