Organization · Type 2 NPI

Pure Health Medicine LLC

Family Nurse Practitioner · Marietta, GA

NPI number 1548833452 Active

Practice location

905 Saddle Hl
Marietta, GA 30068-4915

Call (678) 842-8835 Map

Mailing address

3966 Jefferson Township Pkwy
Marietta, GA 30066-1704

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

Another provider at this address

Paulette Decontee Kpannah, FNPFamily Nurse Practitioner Marietta, GA NPI 1740882877

Other family nurse practitioner providers in Marietta

See all in Marietta →

NPI record

NPI: 1548833452
Entity type: Organization (Type 2)
Issued: Jul 19, 2021
Last updated: Sep 24, 2021
Status: Active

Other names

<unavail>
Pure Health Medicine LLC · doing business as
Pure Health Medicine LLC · doing business as

Authorized official

Mrs. Paulette Decontee Kpannah
Owner
(678) 523-3663

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1548833452

Pure Health Medicine LLC's National Provider Identifier is 1548833452, issued on Jul 19, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Marietta, GA. The record was last updated on Sep 24, 2021.