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Heal Thyself Llc
Medical Specialty Clinic/Center in Valdosta, Georgia
NPI 1770178162

Heal Thyself Llc is a Medical Specialty Clinic/Center based in Valdosta, GA and is specialized in Medical Specialty. Heal Thyself Llc practices in Valdosta, GA. The NPI Number for Heal Thyself Llc is 1770178162 and holds a License No. (Georgia).

The current practice location address for Heal Thyself Llc is 3698 Inner Perimeter Rd Ste 3603, Valdosta, GA and can be reached out via phone at 229-539-3710. You can also correspond with Heal Thyself Llc through the mailing address at RESIDENSE ADDRESS : 147 WILLOW COVE ROAD, VALDOSTA, GA - 31602 (mailing address contact number: ).

Location: 3698 Inner Perimeter Rd Ste 3603, Valdosta, GA, 31602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770178162
Provider Name
Heal Thyself Llc
Credential
Provider Entity Type
Organization
Address
3698 Inner Perimeter Rd Ste 3603, Valdosta, GA, 31602
Phone Number
229-539-3710
Fax Number
Provider Enumeration Date
03/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11-790-2611 05 GA
institution
Provider Business Practice Location Address Details
Address
3698 Inner Perimeter Rd Ste 3603
City
Valdosta
State
Georgia
Zip
31602-1047
Phone Number
229-539-3710
Fax Number
person
Provider Business Mailing Address Details
Address
3698 Inner Perimeter Rd Ste 3603
City
Valdosta
State
Georgia
Zip
31602-1047
Phone Number
229-539-3710
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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