| NPI | 1912545153 |
|---|---|
| Doing Business As | HEALTHIE GEORGIA CORPORATION |
| Entity Type | Organization |
| Authorized Contact | MARK RENFRO Executive Director 904-382-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2025-09-17 |