| Medi-weightloss | |
|
12195 Highway 92 Ste 144 Woodstock GA 30188-3603 | |
| (678) 540-7827 | |
| Not Available |
| Full Name | Medi-weightloss |
|---|---|
| Speciality | Family Medicine |
| Location | 12195 Highway 92 Ste 144, Woodstock, Georgia |
| Authorized Official Name and Position | Arthur Tsiropoulos (PRESIDENT & CEO) |
| Authorized Official Contact | 4042930173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medi-weightloss 720 Quail Run Ct Johns Creek GA 30005-8920 Ph: (404) 293-0173 | Medi-weightloss 12195 Highway 92 Ste 144 Woodstock GA 30188-3603 Ph: (678) 540-7827 |
| NPI Number | 1912407719 |
|---|---|
| Provider Enumeration Date | 02/19/2018 |
| Last Update Date | 02/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912407719 | NPI | - | NPPES |
| 1184161622 | Medicaid | GA | |
| 1265505531 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30053 (Georgia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 218918RN (Georgia) | Secondary |
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