| NPI | 1316392541 |
|---|---|
| Doing Business As | MEDI-WEIGHTLOSS |
| Entity Type | Organization |
| Authorized Contact | IKUSUKE NAKADA CEO/Owner 404-229-9048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 56363) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD004684) |
| 207Q00000X Family Medicine (Licence: GA RN108447) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-07-19 |