Organization
ROOTED HEALING CROWN SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY ELAINA WATSON (OWNER)
(478) 832-8871
Entity
Organization
Contact information
Practice address
4041 BOWMAN BLVD APT 214B, MACON, GA 31210-0827
(478) 832-8871
Mailing address
4041 BOWMAN BLVD APT 214B, MACON, GA 31210-0827
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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