OrganizationActive
Essential Wellness 360, LLC
NPI 1053100313 · Multi-Specialty Clinic/Center · Palmetto, GA
Provider details
- NPI number
- 1053100313
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Gerenda Wilborn, Founder/Ceo
Mailing address
10536 Serenbe Ln
Palmetto, GA 30268-2290
Registry dates
- Enumerated
- 2025-05-03
- Last updated
- 2025-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.