OrganizationActive
Earth Bar LLC
NPI 1003513524 · Health & Wellness Coach · Hephzibah, GA
Provider details
- NPI number
- 1003513524
- Entity type
- Organization
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Organization subpart
- No
- Authorized official
- Uniqua Clemons, Owner(706) 941-2302
Specialties & taxonomies
Other Service Providers
Practice location
2855 Tobacco Rd Ste D
Hephzibah, GA 30815-7197
Phone: (706) 941-2302
Approximate (ZIP-level) locationGet directions
Mailing address
2855 Tobacco Rd Ste D
Hephzibah, GA 30815-7197
Registry dates
- Enumerated
- 2023-02-15
- Last updated
- 2023-02-15
- Certified
- 2023-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.