NPI 1073786984

Balanced Body Wellness Centre, LLC

Organisation Preferred Provider Organization Kennesaw, GA

Practice location

Address: 5150 Stilesboro Rd NW Suite 420, Kennesaw, GA 30152-7744
Phone: (770) 425-6068
Fax: (770) 425-6085

Authorised official

Name: Tamera Firnbach
Title: Owner
Phone: (770) 425-6068

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence CHIR0006878 (GA)

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Registry record

NPI: 1073786984
Entity type: Organization
NPI issued: 11 Apr 2008
Record last updated: 11 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.