MEDICAL & MENTAL HOLISTIC HEALTHCARE NPI 1063391274

NPI Information

  • NPI: 1063391274
  • Provider Name: MEDICAL & MENTAL HOLISTIC HEALTHCARE
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 7544 SOUTHLAKE PKWY STE 102B
    JONESBORO, GA
    ZIP 30236
  • Phone: (770) 240-4849

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NPI Details

MEDICAL & MENTAL HOLISTIC HEALTHCARE is a multi-specialty clinic center in Jonesboro, GA. MEDICAL & MENTAL HOLISTIC HEALTHCARE NPI is 1063391274. The provider is registered as an organization entity type.

The provider's business location address is:

7544 SOUTHLAKE PKWY STE 102B
JONESBORO, GA
ZIP 30236-495
Phone: (770) 240-4849
Fax: (678) 737-1743

The provider's authorized official is Nadine N Williams .
The authorized official title is Primary Care Nurse Practitioner and has the following contact phone number (678) 599-3670.

The enumeration date for this NPI number is 9/1/2025 and was last updated on 9/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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