Basic Wellness Center, LLC

NPI #1144496662 in Athens, Georgia

Provider Information

NPI Number: 1144496662
Entity Type: Organization
Organization Name: Basic Wellness Center, LLC
Primary Specialty: Specialist
Enumeration Date: May 5, 2008
Last Updated: Aug 15, 2012

Practice Location

Address: 1190 PRINCE AVE
Address 2: LOWR B
City: Athens
State: Georgia
ZIP Code: 30606-2769
Phone: (706) 208-7386

Authorized Official

Name: SHARON GOETTIG, MASSAGE THERAPIST
Title: PRESIDENT
Phone: (706) 543-5755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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