Her Wellness Center, Llc

LBN: Her Wellness Center, Llc
Her Wellness Center, Llc is an health care organization with primary practice located at 1763 Highway 196 W , Hinesville GA 31313-8013. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Her Wellness Center, Llc can be contacted via phone (215) 498-7964, or through Moore, Patrice via phone (215) 498-7964.

Contact Information

Primary practice address
1763 Highway 196 W Hinesville GA 31313-8013
Fax:
Website:
Authorized official contact:
Name: Moore, Patrice Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 67050 Georgia

Profile Details

NPI number 1356870547
LBN Legal business name Her Wellness Center, Llc
DBA Doing business as Her Wellness Center, Llc
Authorized official Moore, Patrice Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2017
Last updated Jun 9th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356870547 NPPES
Georgia MEDICAID 003119950D

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