Mind Body Spirit Wellness Inc

LBN: Mind Body Spirit Wellness Inc
Mind Body Spirit Wellness Inc is an health care organization with primary practice located at 2801 Buford Hwy Ne Ste T65 , Atlanta GA 30329-2145. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. Mind Body Spirit Wellness Inc can be contacted via phone (404) 478-9868, or through Clairborne, Maiysha Tania via phone (404) 478-9868.

Contact Information

Primary practice address
2801 Buford Hwy Ne Ste T65 Atlanta GA 30329-2145
Fax:
Website:
Authorized official contact:
Name: Clairborne, Maiysha Tania Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 055194 Georgia
Ambulatory Health Care Facilities / Primary Care 261QP2300X 055194 Georgia

Profile Details

NPI number 1508138561
LBN Legal business name Mind Body Spirit Wellness Inc
DBA Doing business as
Authorized official Clairborne, Maiysha Tania Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2012
Last updated Feb 6th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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