| Essential Wellness 360, LLC | |
|
1281 Mado Loop Palmetto GA 30268-2465 | |
| (404) 977-2599 | |
| Not Available |
| Full Name | Essential Wellness 360, LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1281 Mado Loop, Palmetto, Georgia |
| Authorized Official Name and Position | Gerenda Anya Wilborn (FOUNDER/CEO) |
| Authorized Official Contact | 6785247265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Wellness 360, LLC 10536 Serenbe Ln Palmetto GA 30268-2290 Ph: (678) 524-7265 | Essential Wellness 360, LLC 1281 Mado Loop Palmetto GA 30268-2465 Ph: (404) 977-2599 |
| NPI Number | 1053100313 |
|---|---|
| Provider Enumeration Date | 05/03/2025 |
| Last Update Date | 05/03/2025 |
| Certification Date | 05/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053100313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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