Provider Demographics
NPI:1275272569
Name:DOWNTOWN HEALTH, LLC
Entity Type:Organization
Organization Name:DOWNTOWN HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:JARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:478-832-0623
Mailing Address - Street 1:316 RAWLS TRAILER PARK RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-6450
Mailing Address - Country:US
Mailing Address - Phone:478-832-0623
Mailing Address - Fax:
Practice Address - Street 1:316 RAWLS TRAILER PARK RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-6450
Practice Address - Country:US
Practice Address - Phone:478-832-0623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty