# R&K MEDCAL WEIGHT LOSS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184980336
- **Authorized official:** DR. EZEKIEL WALTER HOOD MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (770) 964-0611

## Contact information

- **Practice address:** 105 SAINT STEPHENS CT, SUITE F, TYRONE, GA 30290-1716
- **Practice address phone:** (770) 964-0611
- **Practice address fax:** (770) 964-0608
- **Mailing address:** 105 SAINT STEPHENS CT, SUITE F, TYRONE, GA 30290-1716
- **Mailing address phone:** (770) 964-0611
- **Mailing address fax:** (770) 964-0608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 8797 | GA | Yes |

## Other

- **Enumeration date:** 04/02/2012
- **Last updated:** 04/02/2012