Provider Demographics
NPI:1336032838
Name:HEALING HANDS PRIMARY HEALTHCARE, LLC
Entity type:Organization
Organization Name:HEALING HANDS PRIMARY HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAYLA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WOODSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPNP
Authorized Official - Phone:678-699-8435
Mailing Address - Street 1:1276 MCCONNELL DR STE C
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-3506
Mailing Address - Country:US
Mailing Address - Phone:678-699-8435
Mailing Address - Fax:
Practice Address - Street 1:1276 MCCONNELL DR STE C
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3506
Practice Address - Country:US
Practice Address - Phone:678-699-8435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty