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

Georgia Ketamine Renew

Organization Acupuncturist · NPI 1255951182

Georgia Ketamine Renew is an Acupuncturist in Gainesville, Georgia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

1370 Thompson Bridge Rd Ste 101
Gainesville, GA 30501-1780
Phone: (678) 769-7008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1255951182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heidi Nicholson — Owner · (404) 406-4191
NPI enumeratedApril 21, 2020
Last updated in NPPESApril 21, 2020
Certification dateApril 21, 2020
Mailing address1370 Thompson Bridge Rd Ste 101, Gainesville, GA 30501-1780

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