| First Doctors Weight Loss | |
|
6794 Bill Carruth Pkwy Hiram GA 30141-3770 | |
| (678) 567-5918 | |
| Not Available |
| Full Name | First Doctors Weight Loss |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 02/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104285980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 114757 (Georgia) | Primary |
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