SOUTHERN WELLNESS & WEIGHT MANAGEMENT CENTER NPI 1497969216

NPI Information

NPI: 1497969216
Provider Name: SOUTHERN WELLNESS & WEIGHT MANAGEMENT CENTER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1773 SWEETWATER ST
AUSTELL, GA
ZIP 30106
Phone: (770) 745-2700
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SOUTHERN WELLNESS & WEIGHT MANAGEMENT CENTER is a primary care clinic center in Austell, GA. SOUTHERN WELLNESS & WEIGHT MANAGEMENT CENTER NPI is 1497969216. The provider is registered as an organization entity type.

The provider's business location address is:

1773 SWEETWATER ST
AUSTELL, GA
ZIP 30106-294
Phone: (770) 745-2700
Fax: (770) 745-2703

The provider's authorized official is Arnold Dollar Gaskin .
The authorized official title is Medical Director and has the following contact phone number (770) 745-2700.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	036382	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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