Essentia Intima LLC
Essentia Intima LLC is a Medical Specialty Clinic/Center in Fayetteville, 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.
Practice location Address checks out
600 Lanier Ave W Ste 203Fayetteville, GA 30214-1833
Phone: (909) 994-1048
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X |
|---|
Record details
| NPI number | 1275356826 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ijeoma Okwandu — Cmo · (909) 994-1048 |
| NPI enumerated | November 4, 2024 |
| Last updated in NPPES | November 4, 2024 |
| Certification date | November 3, 2024 |
| Mailing address | 600 Lanier Ave W Ste 203, Fayetteville, GA 30214-1833 |
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