Premier Spa & Wellness

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA003861 Issued in GA

Legal business name

PREMIER SPA & WELLNESS

Practice address

2050 Roswell Rd
Marietta, GA 30062-3811

Phone

(770) 369-3606

Fax

(770) 977-9299

NPI assigned

Feb 5, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Marie Grace Vola, LMT

Title

Lic Massage Therapist

Phone

(770) 369-3606

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1073971982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623811",
            "telephone_number": "770-369-3606",
            "fax_number": "770-977-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623811",
            "telephone_number": "770-369-3606",
            "fax_number": "770-977-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPA & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "VOLA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "LIC MASSAGE THERAPIST",
        "authorized_official_telephone_number": "770-369-3606",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "MA003861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Ambulatory Surgical Center, LLC
• Premier Billing & Collections
• Premier Nephrology and Hypertension LLC
• Premier Neurosurgical Institute, LLC
• Premier Podiatry-East Cobb
• Premiere Medical Company, Inc.
• Premise Health of Georgia Medical PC
• Premise Health of Georgia Medical, P.C.
• Premise Health of Georgia Medical, P.C.
• Shirma Prescott-Clark, LPC

• Specialist in Marietta, GA
• Providers in Marietta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.