{"npi":"1073786984","type":"NPI-2","status":"active","name":{"display":"Balanced Body Wellness Centre, LLC","other":[],"organization_name":"BALANCED BODY WELLNESS CENTRE, LLC","authorised_official":"Tamera Firnbach"},"specialty":{"primary_taxonomy":"305R00000X","primary_taxonomy_description":"Preferred Provider Organization","slug":"preferred-provider-organization","schema_org_specialty":null,"all":[{"code":"305R00000X","description":"Preferred Provider Organization","primary":true,"state":"GA","license":"CHIR0006878"}]},"addresses":[{"purpose":"LOCATION","street_1":"5150 STILESBORO RD NW","city":"KENNESAW","state":"GA","postal_code":"301527744","country_code":"US","street_2":"SUITE 420","phone":"7704256068","fax":"7704256085"},{"purpose":"MAILING","street_1":"5150 STILESBORO RD NW","city":"KENNESAW","state":"GA","postal_code":"301527744","country_code":"US","street_2":"SUITE 420","phone":"7704256068","fax":"7704256085"}],"license":{"state":"GA","number":"CHIR0006878"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-04-11","last_updated":"2008-04-11","_meta":{"source":"NPPES","snapshot_date":"2008-04-11","doc_url":"https://findmynpi.com/api"}}