| Valentine Weight Loss & Wellness Center | |
|
874 Lanier Ave W Suite 210 Fayetteville GA 30214-7662 | |
| (770) 833-7739 | |
| (770) 629-1224 |
| Full Name | Valentine Weight Loss & Wellness Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 874 Lanier Ave W, Fayetteville, Georgia |
| Authorized Official Name and Position | Andre Kwame Brooks (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7778337739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valentine Weight Loss & Wellness Center 874 Lanier Ave W Suite 210 Fayetteville GA 30214-7662 Ph: (770) 833-7739 | Valentine Weight Loss & Wellness Center 874 Lanier Ave W Suite 210 Fayetteville GA 30214-7662 Ph: (770) 833-7739 |
| NPI Number | 1023425881 |
|---|---|
| Provider Enumeration Date | 07/14/2014 |
| Last Update Date | 07/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023425881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 040580 (Georgia) | Primary |
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