Provider Demographics
NPI:1194499590
Name:ANEW BODY & WELLNESS LLC
Entity type:Organization
Organization Name:ANEW BODY & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:GALLIMORE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:917-501-5636
Mailing Address - Street 1:768 OLD NC HIGHWAY 109
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-9406
Mailing Address - Country:US
Mailing Address - Phone:917-501-5636
Mailing Address - Fax:631-751-8298
Practice Address - Street 1:768 OLD NC HIGHWAY 109
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-9406
Practice Address - Country:US
Practice Address - Phone:917-501-5636
Practice Address - Fax:631-751-8298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty