| Heart & Soul Wellness Llc | |
|
5 Latimer St Hazlehurst GA 31539-6111 | |
| (912) 500-9207 | |
| (432) 200-9558 |
| Full Name | Heart & Soul Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5 Latimer St, Hazlehurst, Georgia |
| Authorized Official Name and Position | Dondi Nichole Little (OFFICE MANAGER) |
| Authorized Official Contact | 9125009207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart & Soul Wellness Llc 784 S Main St Baxley GA 31513-0135 Ph: (912) 500-9207 | Heart & Soul Wellness Llc 5 Latimer St Hazlehurst GA 31539-6111 Ph: (912) 500-9207 |
| NPI Number | 1447924535 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Medicare PECOS PAC ID | 0840680211 |
|---|---|
| Medicare Enrollment ID | O20211130000906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447924535 | NPI | - | NPPES |
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