| NPI | 1083106231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY WHEELER Owner/Dietitian 678-951-9584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA LD003714) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |