Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broad Wellness, LLC

Organization Registered Dietitian · NPI 1730959131

Broad Wellness, LLC is a Registered Dietitian in Martinez, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4318 Thrush Ct
Martinez, GA 30907-4415
Phone: (850) 624-2583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1730959131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dasha Hardin — Owner · (850) 624-2583
NPI enumeratedJanuary 5, 2024
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024
Mailing address4318 Thrush Ct, Martinez, GA 30907-4415

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