| Kiwimedspa Medical Weight Loss & Aesthetics Llc | |
|
2103 Cain Cir Ste 120 Dacula GA 30019-1658 | |
| (877) 549-4633 | |
| Not Available |
| Full Name | Kiwimedspa Medical Weight Loss & Aesthetics Llc |
|---|---|
| Speciality | Preventive Medicine - Obesity Medicine |
| Location | 2103 Cain Cir Ste 120, Dacula, Georgia |
| Authorized Official Name and Position | Maria Angel (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6789366167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiwimedspa Medical Weight Loss & Aesthetics Llc 3640 Mundy Mill Rd Ste 112 Pmb 129 Gainesville GA 30504 Ph: (678) 936-6167 | Kiwimedspa Medical Weight Loss & Aesthetics Llc 2103 Cain Cir Ste 120 Dacula GA 30019-1658 Ph: (877) 549-4633 |
| NPI Number | 1891639464 |
|---|---|
| Provider Enumeration Date | 04/15/2026 |
| Last Update Date | 05/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891639464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | (* (Not Available)) | Primary |
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