Provider Demographics
NPI:1447012562
Name:DINKINS, VICKI GARRETT (HEALTH & WELLNESS CO)
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:GARRETT
Last Name:DINKINS
Suffix:
Gender:F
Credentials:HEALTH & WELLNESS CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6227 SOUTHERN SHR
Mailing Address - Street 2:
Mailing Address - City:NAYLOR
Mailing Address - State:GA
Mailing Address - Zip Code:31641-2613
Mailing Address - Country:US
Mailing Address - Phone:229-300-6486
Mailing Address - Fax:
Practice Address - Street 1:6227 SOUTHERN SHR
Practice Address - Street 2:
Practice Address - City:NAYLOR
Practice Address - State:GA
Practice Address - Zip Code:31641-2613
Practice Address - Country:US
Practice Address - Phone:229-300-6486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA90887096171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty