2 WOLVES INC


Address: 783 S Main St Ste 5, Cleveland, GA 30528-4519
Phone: 9123129807

2 WOLVES INC (NPI# 1548884000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548884000
Entity Type Organization
Organization Name 2 WOLVES INC
Practice Address 783 S Main St Ste 5
Cleveland
GA 30528-4519
Practice Telephone 9123129807
Mailing Telephone 9123129807
Enumeration Date 2020-06-01
Last Update Date 2020-06-01
Authorized Official Name DR. KIM BOHNE (CEO)
Authorized Official Telephone 9123129807
Authorized Official Credential DNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
True Balance Doing Business As Name - Organization

Office Location

Street Address 783 S MAIN ST STE 5
City CLEVELAND
State GA
Zip Code 30528-4519

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1154826378 Fpb Clinical Practice LLC Clinic/Center 2181 Ambleside Dr, Cleveland, OH 44106-4645 2018-03-28
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Competitor

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City CLEVELAND
Zip Code 30528

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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