Provider Demographics
NPI:1679315949
Name:ON POINT MED SPA & WELLNESS CENTER LLC
Entity type:Organization
Organization Name:ON POINT MED SPA & WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:COPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:470-429-5168
Mailing Address - Street 1:PO BOX 687
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:GA
Mailing Address - Zip Code:30620-0687
Mailing Address - Country:US
Mailing Address - Phone:470-429-5168
Mailing Address - Fax:470-201-1028
Practice Address - Street 1:799 CHRISTMAS AVE STE 300
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:GA
Practice Address - Zip Code:30620-2915
Practice Address - Country:US
Practice Address - Phone:470-429-5168
Practice Address - Fax:470-201-1028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-08
Last Update Date:2024-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily