Provider Demographics
NPI:1962836692
Name:AHIMSA FAMILY HEALTH AND WELLNESS, LLC
Entity Type:Organization
Organization Name:AHIMSA FAMILY HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:770-815-7503
Mailing Address - Street 1:2095 GEORGIA 211
Mailing Address - Street 2:SUITE 2F, #213
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517
Mailing Address - Country:US
Mailing Address - Phone:678-682-0787
Mailing Address - Fax:
Practice Address - Street 1:1033 CITY MARKET ST
Practice Address - Street 2:
Practice Address - City:HOSCHTON
Practice Address - State:GA
Practice Address - Zip Code:30548-3479
Practice Address - Country:US
Practice Address - Phone:678-682-0787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN172358363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty