The Nile Wellness Center, Inc.

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

THE NILE WELLNESS CENTER, INC.

Practice address

3805 Presidential Pkwy
Suite 106
Atlanta, GA 30340-3720

Phone

(770) 454-1363

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Brooks Imani, COLON HYDROTHERAPIST

Title

Ceo

Phone

(404) 932-9405

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1942575006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56147",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303430147",
            "telephone_number": "770-454-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 PRESIDENTIAL PKWY",
            "address_2": "SUITE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303403720",
            "telephone_number": "770-454-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NILE WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "IMANI",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-932-9405",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COLON HYDROTHERAPIST"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.