Provider Demographics
NPI:1447135918
Name:ABSOLUTE HEALTH TOTAL BODY WELLNESS PLLC
Entity type:Organization
Organization Name:ABSOLUTE HEALTH TOTAL BODY WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:EGGLESTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-482-1657
Mailing Address - Street 1:620 GUILFORD COLLEGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409-2027
Mailing Address - Country:US
Mailing Address - Phone:336-482-1657
Mailing Address - Fax:336-291-8560
Practice Address - Street 1:620 GUILFORD COLLEGE RD STE B
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-2027
Practice Address - Country:US
Practice Address - Phone:336-482-1657
Practice Address - Fax:336-291-8560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty