Provider Demographics
NPI:1376928861
Name:STARTING POINT WELLNESS, LLC
Entity Type:Organization
Organization Name:STARTING POINT WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:678-372-2346
Mailing Address - Street 1:PO BOX 3142
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-0988
Mailing Address - Country:US
Mailing Address - Phone:678-372-2346
Mailing Address - Fax:
Practice Address - Street 1:965 OAKLAND RD STE E
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-3758
Practice Address - Country:US
Practice Address - Phone:678-372-2346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-25
Last Update Date:2015-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center