IndividualActive
Keisha Henry, WLS, CWC
NPI 1699287771 · Health Maintenance Organization · Atlanta, GA
Provider details
- NPI number
- 1699287771
- Entity type
- Individual
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Credential
- WLS, CWC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Practice location
3330 Cumberland Blvd Se Ste 500
Atlanta, GA 30339-5997
Phone: (678) 242-9239
Fax: (770) 933-6223
Approximate (ZIP-level) locationGet directions
Mailing address
1309 Adcox Sq
Stone Mountain, GA 30088-4544
Registry dates
- Enumerated
- 2017-10-30
- Last updated
- 2017-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.