| NPI | 1801346978 |
|---|---|
| Doing Business As | MEDI-WEIGHTLOSS |
| Entity Type | Organization |
| Authorized Contact | STEVEN DIETZ President 770-833-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |