NPI 1265250120

Demond Timberlake, NBCHWC

Practitioner Health & Wellness Coach Lawrenceville, GA

Practice location

Address: 289 S Culver St, Lawrenceville, GA 30046-4805
Phone: (800) 516-0975
Mailing address: 1391 Hartford Ave SW, Atlanta, GA 30310-4234

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X Licence A3399018

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Registry record

NPI: 1265250120
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2024
Record last updated: 30 Sep 2024

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.