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Evernorth Direct Health LLC — NPI 1134412737, Chatsworth, GA | NPI Central

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NPI 1134412737

OrganizationActive

Evernorth Direct Health LLC

NPI 1134412737 · Non-Pharmacy Dispensing Site · Chatsworth, GA

Provider details

NPI number: 1134412737
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Organization subpart: Yes
Authorized official: Kenny Heine, Vp of Operations(858) 625-2990
License: 002396 (GA)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense 002396 (GA)
Suppliers

Practice location

531 Duvall Rd

Chatsworth, GA 30705-2087

Phone: (706) 422-6104

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Other names (DBA / former)

Doing business as: Mohawk Healthy Life Center - Miles/Dvd
Doing business as: Mohawk Healthy Life Center - Miles/Dvd

Registry dates

Enumerated: 2011-05-16
Last updated: 2021-05-03
Certified: 2021-05-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.