First Doctors Weight Loss | |
6794 Bill Carruth Pkwy Hiram GA 30141-3770 | |
(678) 567-5918 | |
Not Available |
Full Name | First Doctors Weight Loss |
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Speciality | Clinic/center - Primary Care |
Location | 6794 Bill Carruth Pkwy, Hiram, Georgia |
Authorized Official Name and Position | T. Wayne Bloodworth (PRESIDENT) |
Authorized Official Contact | 6785675917 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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First Doctors Weight Loss 6794 Bill Carruth Pkwy Hiram GA 30141-3770 Ph: (678) 567-5918 | First Doctors Weight Loss 6794 Bill Carruth Pkwy Hiram GA 30141-3770 Ph: (678) 567-5918 |
NPI Number | 1104285980 |
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Provider Enumeration Date | 02/22/2016 |
Last Update Date | 02/22/2016 |
Identifier | Type | State | Issuer |
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1104285980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 114757 (Georgia) | Primary |
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