| 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 |