NPI | 1235469669 |
---|---|
Doing Business As | LIVING WELL MEDICAL WEIGHT LOSS & AESTHETICS CENTER |
Entity Type | Organization |
Authorized Contact | ROBERT DEREK MILLER Chief Financial Officer 334-793-8111 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Enumeration Date | 2010-01-07 |
Last Update Date | 2010-01-07 |